John William Tyson in Jacksonville - Surgery
John William Tyson - NPI 1649265117
John William Tyson is a Surgery in Jacksonville, Florida. John William Tyson practices all healthcare services and medical treatments related to Surgery. The NPI Number for John William Tyson is 1649265117. The last update date is 2016-11-04.
John William Tyson's current location address is 11945 San Jose Blvd, Jacksonville, Florida. You can contact this provider via phone number 9043961725 and fax number 9043991717. The mailing address for John William Tyson is 11945 San Jose Blvd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John William Tyson |
|---|---|
| Address | 11945 San Jose Blvd, Jacksonville, Florida |
| Phone Number | 9043961725 |
| Fax Number | 9043991717 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1649265117 |
|---|---|
| Provider Enumeration Date | 2005-09-12 |
| Last Updated Date | 2016-11-04 |
Provider Mailing Address Detail
| Address | 11945 San Jose Blvd |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322231613 |
| Phone Number | 9043961725 |
| Fax Number | 9043991717 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | ME80209 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 59270300 | FL | -- |
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What is the unique identifier code issued to John William Tyson by the Centers for Medicare & Medicaid Services?
The John William Tyson has been assigned the NPI (National Provider Identifier) 1649265117. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where John William Tyson's facilities are situated?
The facilities of John William Tyson are physically located at the following address: 11945 San Jose Blvd, Jacksonville, FL, 322231613.
What is John William Tyson's area of expertise and its corresponding taxonomy classification?
The John William Tyson's field of specialization is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1649265117 assigned to John William Tyson?
The John William Tyson was issued its 1649265117 on 2005-09-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding John William Tyson most recently updated?
The details pertaining to the John William Tyson, including its address, specialty, and other relevant information, were last refreshed on 2016-11-04.
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