Individual
DIANA GAYLE TYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
3872 OAKWATER CIR, ORLANDO, FL 32806-6263
(407) 857-6261
Mailing address
3872 OAKWATER CIR, ORLANDO, FL 32806-6263
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
108724
FL
Other
Enumeration date
10/29/2010
Last updated
05/10/2026
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