MEDICARE: SYDNEY LYNN TUBBS CAA

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	367H00000X	Anesthesiologist Assistant	1192	FL

General Provider Information

NPI Number	:	1699633438
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYDNEY LYNN TUBBS CAA

Provider Business Mailing Address
First Line	:	5102 CANAL DR
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-8012
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5301 S CONGRESS AVE
Second Line	:
City	:	ATLANTIS
State	:	FL
Zip	:	33462-1149
Country	:	US
Telephone Number	:	561-965-7300
Fax Number	:

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

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/23/2026

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