Healthcare Provider Details

I. General information

NPI: 1942929328
Provider Name (Legal Business Name): MR. TYE JOSHUA MCCARTY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2022
Last Update Date: 12/06/2025
Certification Date: 12/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3456 PLAZA AVE
SPRING HILL FL
34608-3945
US

IV. Provider business mailing address

3456 PLAZA AVE
SPRING HILL FL
34608-3945
US

V. Phone/Fax

Practice location:
  • Phone: 352-232-9243
  • Fax:
Mailing address:
  • Phone: 352-232-9243
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: