Organization
TYNER HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NARGUESS DSADFAR MA (ADMINISTRATOR)
(818) 518-7226
Entity
Organization
Contact information
Practice address
5301 S CONGRESS AVE, ATLANTIS, FL 33462-1149
(561) 965-7300
Mailing address
PO BOX 872, AGOURA HILLS, CA 91376-0872
(818) 518-7226
Taxonomy
Speciality
Code
Description
License number
State
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
03/28/2025
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