Provider Demographics
NPI:1144433004
Name:FLYE, TONYA DENISE
Entity type:Individual
Prefix:MS
First Name:TONYA
Middle Name:DENISE
Last Name:FLYE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5926 SW 26TH ST
Mailing Address - Street 2:APT #1
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33023-4100
Mailing Address - Country:US
Mailing Address - Phone:954-987-6918
Mailing Address - Fax:954-987-6918
Practice Address - Street 1:5926 SW 26TH ST
Practice Address - Street 2:APT #1
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33023-4100
Practice Address - Country:US
Practice Address - Phone:954-987-6918
Practice Address - Fax:954-987-6918
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered372500000XNursing Service Related ProvidersChore Provider
Not Answered372600000XNursing Service Related ProvidersAdult Companion
Not Answered374U00000XNursing Service Related ProvidersHome Health Aide