Provider Demographics
NPI:1467582353
Name:SYED, TONYA RENEE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:TONYA
Middle Name:RENEE
Last Name:SYED
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:TONYA
Other - Middle Name:RENEE
Other - Last Name:BIFFLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1540 ZORETA AVE
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-2433
Mailing Address - Country:US
Mailing Address - Phone:786-371-8365
Mailing Address - Fax:
Practice Address - Street 1:555 WASHINGTON AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-6607
Practice Address - Country:US
Practice Address - Phone:305-672-1233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA 9104511363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0000975OtherINDIVIDUAL MEDICARE