Organization Name: | ROBERT W. TINSLEY, DPM,PA |
NPI Number: | 1154333573 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT W TINSLEY (PHYSICIAN) |
Mailing Address: | 7341 Office Park Pl Suite 103 Viera |
State: | FL US |
Postal Code: | 329408280 |
Phone Number: | 3212534973 |
Fax Number: | 3212534913 |
NPI Enumeration Date: | 08/13/2006 |
NPI Last Update Date: | 02/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | PO1521 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |