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NPI Code Detail

MEDICARE: TONYA GIBSON

MEDICARE:   TONYA  GIBSON
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
1385HR2060XChild Intellectual and/or Developmental Disabilities Respite Care
2251G00000XCommunity Based Hospice Care Agency
3376J00000XHomemaker
4320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
53747P1801XPersonal Care Attendant
6385H00000XRespite Care
7385HR2055XChild Mental Illness Respite Care
8385HR2065XChild Physical Disabilities Respite Care
9251E00000XHome Health AgencyFL

General Provider Information

NPI Number : 1073007621
Entity Type Code : Individual
Provider Name (Legal Business Name) : TONYA GIBSON
Provider Business Mailing Address
First Line : 2705 DOLPHIN DR
Second Line :
City : SEBRING
State : FL
Zip : 33870-7830
Country : US
Telephone Number : 863-877-7568
Fax Number :
Provider Business Practice Location Address
First Line : 2705 DOLPHIN DR
Second Line :
City : SEBRING
State : FL
Zip : 33870-7830
Country : US
Telephone Number : 863-877-7568
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2018
Last Update Date : 06/12/2026

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Directions to “ TONYA GIBSON ” Practice Location

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