Individual provider · Type 1 NPI

Tyshan Nishel Austin, PA

Medical Physician Assistant · Hollywood, FL

NPI number 1760617708 Active

Practice location

5647 Hollywood Blvd
Hollywood, FL 33021-6325

Call (954) 276-1616 Map

Fax (954) 276-0186

Mailing address

2900 Corporate Way, Door D
Miramar, FL 33025-3925

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA 9104993 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1760617708

Tyshan Nishel Austin, PA's National Provider Identifier is 1760617708, issued on May 20, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hollywood, FL. The record was last updated on Jul 11, 2023.