Individual
DR. DARRIN PHILLIP TYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
11974 BALM RIVERVIEW RD, RIVERVIEW, FL 33569-6601
(813) 443-5223
Mailing address
920 W, LUMSDEN RD, BRANDON, FL 33511-6281
(813) 413-8465
(813) 413-8466
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8966
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22086
BLUE CROSS BLUE SHEILDS
FL
01
—
AJ095
PTAN
FL
Enumeration date
09/20/2006
Last updated
03/27/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us