Provider Demographics
NPI:1265473441
Name:TUYN, EUGENIA (PT, RD)
Entity Type:Individual
Prefix:MRS
First Name:EUGENIA
Middle Name:
Last Name:TUYN
Suffix:
Gender:F
Credentials:PT, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9660 NW 16TH ST
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33322-4209
Mailing Address - Country:US
Mailing Address - Phone:954-473-0708
Mailing Address - Fax:954-730-2788
Practice Address - Street 1:4850 W OAKLAND PARK BLVD
Practice Address - Street 2:
Practice Address - City:LAUDERDALE LAKES
Practice Address - State:FL
Practice Address - Zip Code:33313-7260
Practice Address - Country:US
Practice Address - Phone:954-730-2789
Practice Address - Fax:954-730-2788
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2018-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL8865225100000X, 208100000X
FL441133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered