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Dr. Tyson Mellish Anthony, DOCTOROFMEDICINE
Student in an Organized Health Care Education/Training Program in Trinity, Florida
NPI 1912524968

Tyson Mellish Anthony is a Student in an Organized Health Care Education/Training Program based in New Port Richey, FL. Tyson Mellish Anthony practices in Trinity, FL and has the professional credentials of DOCTOROFMEDICINE. The NPI Number for Tyson Mellish Anthony is 1912524968 and holds a License No. (Florida).

The current practice location address for Tyson Mellish Anthony is 9330 State Road 54, Trinity, FL and can be reached out via phone at 207-352-8273.

Location: 9330 State Road 54, Trinity, FL, 34655-1808
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912524968
Provider Name
Tyson Mellish Anthony
Credential
DOCTOROFMEDICINE
Provider Entity Type
Individual
Gender
Male
Address
9330 State Road 54, Trinity, FL, 34655-1808
Phone Number
207-352-8273
Fax Number
Provider Enumeration Date
06/25/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9330 State Road 54
City
Trinity
State
Florida
Zip
34655-1808
Phone Number
207-352-8273
Fax Number
person
Provider Business Mailing Address Details
Address
9330 State Road 54
City
Trinity
State
Florida
Zip
34655-1808
Phone Number
207-352-8273
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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