MEDICARE: PATRICK HENRY TYRANCE JR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	22468	NE
2	207X00000X	Orthopaedic Surgery Physician	ME123773	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00341847	OTHER	NE	RAILROAD MEDICARE
8	099588015	OTHER		MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	07168	OTHER	NE	BCBS
5	02671	OTHER	NE	BCBS OF NEBRASKA
6	0890216	OTHER	FL	CIGNA
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	141846792	OTHER	FL	UNITED HEALTH CARE
10	HQFJR	OTHER	FL	BCBS
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033149067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICK HENRY TYRANCE JR. M.D.

Provider Business Mailing Address
First Line	:	6290 LINTON BLVD STE SUITE101
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-6409
Country	:	US
Telephone Number	:	561-898-0303
Fax Number	:	561-444-0209

Provider Business Practice Location Address
First Line	:	6290 LINTON BLVD STE 101
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-6409
Country	:	US
Telephone Number	:	561-898-0303
Fax Number	:	561-444-0209

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	01/02/2025

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