Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD.024437 | LA |
Y | 2080N0001X | Neonatal-Perinatal Doctor | ME120573 | FL |
NPI | 1073584231 |
---|---|
Provider Name | Dr. Kreangkai Tyree |
First Address | Orlando, FL 32804-4644 |
Second Address | Altamonte Springs, FL 32701-4802 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2006 |
Last Update Date | 30/06/2017 |