Organization
DAVID W LYTER, MD MPH, PA
Active
Other names
Diversity Health Center of Tampa Bay
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID W LYTER MD (OWNER)
(813) 518-0881
Entity
Organization
Contact information
Practice address
4302 N HABANA AVE STE 200, TAMPA, FL 33607-6368
(813) 518-0881
(813) 518-0882
Mailing address
4302 N HABANA AVE STE 200, TAMPA, FL 33607-6368
(813) 518-0881
(813) 518-0882
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME79149
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023374100
—
FL
Enumeration date
11/14/2017
Last updated
07/15/2019
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