| Tyson Tabora Dpm Pa | |
|
12989 Southern Blvd Ste 205, Loxahatchee, FL 33470-9291 | |
| (561) 809-2343 | |
| (888) 491-0775 |
| Full Name | Tyson Tabora Dpm Pa |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 12989 Southern Blvd Ste 205, Loxahatchee, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568964633 | NPI | - | NPPES |
| 115978600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | PO3687 (Florida) | Primary |
| Provider Name | Tyson J Tabora |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1881087443 PECOS PAC ID: 3274840509 Enrollment ID: I20150917002776 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyson Tabora Dpm Pa 12989 Southern Blvd Ste 205, Loxahatchee, FL 33470-9291 Ph: (561) 809-2343 | Tyson Tabora Dpm Pa 12989 Southern Blvd Ste 205, Loxahatchee, FL 33470-9291 Ph: (561) 809-2343 |
Signature Foot & Ankle, Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 12983 Southern Blvd Ste 206, Loxahatchee, FL 33470 Phone: 561-203-9285 | |
Dr. Dorothy Blank, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 13005 Southern Blvd, Suite 225, Loxahatchee, FL 33470 Phone: 561-798-0900 Fax: 561-798-1121 | |
Stephanie Kane, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 12983 Southern Blvd Ste 206, Loxahatchee, FL 33470 Phone: 561-203-9285 Fax: 561-576-0809 | |
Matthew Eric Greenblatt, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 12983 Southern Blvd Ste 206, Loxahatchee, FL 33470 Phone: 561-203-9285 | |
Ankle & Foot Centre Of S Florida Pa Podiatrist Medicare: Medicare Enrolled Practice Location: 13005 Southern Blvd, Suite 225, Loxahatchee, FL 33470 Phone: 561-798-0900 Fax: 561-798-1121 | |
Dr. Tyson Joseph Tabora, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 12989 Southern Blvd Ste 205, Loxahatchee, FL 33470 Phone: 561-809-2343 Fax: 888-491-0775 |