Search › Florida › 106S00000X
Tyra Gaston, RBT
NPI 1619545217 · on the registry since 2021
Practice
- Address
- 12276 San Jose Blvd Ste 508
Jacksonville, FL 32223 - Phone
- (904) 886-3223
- Organisation at this address
- Wellhealth Inc
Glenn Knox Md Psc
Krm Resources Llc
Dr. Rosann W. Faull Llc
Sheanas Care Support LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 529
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-06-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida