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Tyra D White
Prosthetic/Orthotic Supplier in Miramar, Florida
NPI 1457045296

Tyra D White is a Prosthetic/Orthotic Supplier based in Miramar, FL. Tyra D White practices in Miramar, FL. The NPI Number for Tyra D White is 1457045296 and holds a License No. (Florida).

The current practice location address for Tyra D White is 10780 N Preserve Way Apt 103, Miramar, FL and can be reached out via phone at 786-907-6598. You can also correspond with Tyra D White through the mailing address at 10780 N PRESERVE WAY APT 103, MIRAMAR, FL - 33025-6576 (mailing address contact number: 786-907-6598).

Location: 10780 N Preserve Way Apt 103, Miramar, FL, 33025-6576
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457045296
Provider Name
Tyra D White
Credential
Provider Entity Type
Individual
Gender
Female
Address
10780 N Preserve Way Apt 103, Miramar, FL, 33025-6576
Phone Number
786-907-6598
Fax Number
Provider Enumeration Date
06/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10780 N Preserve Way Apt 103
City
Miramar
State
Florida
Zip
33025-6576
Phone Number
786-907-6598
Fax Number
person
Provider Business Mailing Address Details
Address
10780 N Preserve Way Apt 103
City
Miramar
State
Florida
Zip
33025-6576
Phone Number
786-907-6598
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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