Tyshawn Martin, LPN

NPI 1255963450 · on the registry since 2020 · sole proprietor

Practice

Address: 5202 Plunkett St
Hollywood, FL 33021
Phone: (305) 788-7779
Organisation at this address: Custom Crowns
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 164W00000X
164W00000X
Also registered as: 171M00000X
174400000X
224P00000X
246Y00000X
251E00000X
251F00000X
251J00000X
405300000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2020-02-06

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