Provider Demographics
NPI:1033149067
Name:TYRANCE, PATRICK HENRY JR (MD)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:HENRY
Last Name:TYRANCE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6290 LINTON BLVD STE SUITE101
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-6409
Mailing Address - Country:US
Mailing Address - Phone:561-898-0303
Mailing Address - Fax:561-444-0209
Practice Address - Street 1:6290 LINTON BLVD STE 101
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-6409
Practice Address - Country:US
Practice Address - Phone:561-898-0303
Practice Address - Fax:561-444-0209
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE22468207X00000X
FLME123773207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA2586594Medicaid
FL016556600Medicaid
NE07168OtherBCBS
NEP00341847OtherRAILROAD MEDICARE
NE02671OtherBCBS OF NEBRASKA
FL0890216OtherCIGNA
NE10025562100Medicaid
099588015OtherMEDICARE
FL141846792OtherUNITED HEALTH CARE
FLHQFJROtherBCBS
NE280422Medicare PIN
FL0890216OtherCIGNA