Healthcare Provider Details

I. General information

NPI: 1144433004
Provider Name (Legal Business Name): MS. TONYA DENISE FLYE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5926 SW 26TH ST APT #1
HOLLYWOOD FL
33023-4100
US

IV. Provider business mailing address

5926 SW 26TH ST APT #1
HOLLYWOOD FL
33023-4100
US

V. Phone/Fax

Practice location:
  • Phone: 954-987-6918
  • Fax: 954-987-6918
Mailing address:
  • Phone: 954-987-6918
  • Fax: 954-987-6918

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: