Individual
DR. ANNE G TYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6700 S FLORIDA AVE, SUITE 13, LAKELAND, FL 33813-3327
(863) 648-0500
(863) 644-9015
Mailing address
6700 S FLORIDA AVE, SUITE 13, LAKELAND, FL 33813-3327
(863) 648-0500
(863) 644-9015
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME61703
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME61703
LICENSE #
FL
Enumeration date
01/03/2007
Last updated
03/07/2023
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