Organization
TYNER HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE BENTON (ADMINISTRATOR)
(352) 237-7646
Entity
Organization
Contact information
Practice address
5301 S CONGRESS AVE, ATLANTIS, FL 33462-1149
(561) 965-7300
Mailing address
1202 SW 17TH ST STE 201, OCALA, FL 34471-1283
(352) 237-7646
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS16926
MEDICAL LICENSE
FL
Enumeration date
03/28/2025
Last updated
06/12/2026
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