VINCENT TYSON NPI 1003245457

NPI Information

  • NPI: 1003245457
  • Provider Name: VINCENT TYSON
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5333 N DIXIE HWY STE 110
    OAKLAND PARK, FL
    ZIP 33334
  • Phone: (954) 772-8554

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NPI Details

Vincent Tyson is a gerontology nurse practitioner in Oakland Park, FL. Vincent Tyson NPI is 1003245457. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5333 N DIXIE HWY STE 110
OAKLAND PARK, FL
ZIP 33334-453
Phone: (954) 772-8554

The NPI 1003245457 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/6/2013 and was last updated on 2/6/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP2300XNurse PractitionerPrimary CareSPO13376PENNSYLVANIANo
2363LP2300XNurse PractitionerPrimary Care11005143FLORIDANo
3363LG0600XNurse PractitionerGerontologyAP61299531WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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