Provider Demographics
NPI:1831711589
Name:TYMANDA, INC.
Entity type:Organization
Organization Name:TYMANDA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MATT
Authorized Official - Middle Name:
Authorized Official - Last Name:AUKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-774-4457
Mailing Address - Street 1:498 PALM SPRINGS DR STE 240
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-7805
Mailing Address - Country:US
Mailing Address - Phone:407-774-4457
Mailing Address - Fax:407-869-9561
Practice Address - Street 1:498 PALM SPRINGS DR STE 240
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-7805
Practice Address - Country:US
Practice Address - Phone:407-774-4457
Practice Address - Fax:407-869-9561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-15
Last Update Date:2020-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care