Ms. Tyshan N. Austin PA
Medical Physician Assistant in Hollywood, FL(View on Map)
Full Name
Ms. Tyshan Nishel Austin PA
NPI Number
1760617708
NPI Type
Individual Provider
Gender
Female
Enumeration Date
05/20/2009
Specialties
(Taxonomies)Licenses
State
Florida
License Number
PA 9104993
Contact
Information
Purpose
Mailing
Location
Address
2900 CORPORATE WAY
5647 HOLLYWOOD BLVD
City
Miramar
Hollywood
State
FL
FL
Postal Code
33025-3925
33021-6325
Country
US
US
Telephone Number
(954) 276-5685
(954) 276-1616
Identifiers
Identifier
013087100
Identifier State
FL
Identifier Issuer
Unknown
Health Information Exchange
Endpoint Type
DIRECT
Endpoint
toliverjohnson262427@MHSDIRECT.NET
Endpoint Description
MHS DSM
Use
Direct
Content Type
Unknown
Affiliation
N
Endpoint Location
5647 Hollywood BlvdHollywood, FL330216325US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/11/2023
Provider Address
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