Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vincent Tyson

Individual provider Primary Care Nurse Practitioner · NPI 1003245457

Vincent Tyson is a Nurse Practitioner in Oakland Park, Florida. Qualified in 2013, 13 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Florida, Pennsylvania and Washington.

Years since qualifying
13
Licensed in
FL, PA, WA
In the registry since
2013
Specialties on file
3

Practice location Address checks out

5333 N Dixie Hwy Ste 110
Oakland Park, FL 33334-3453
Phone: (954) 772-8554
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 760 Carpenter Ln, Philadelphia, PA 19119-3406 — (215) 848-6880

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence AP61299531 (WA)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence SPO13376 (PA)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 11005143 (FL)

Record details

NPI number1003245457
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 6, 2013
Last updated in NPPESFebruary 6, 2024
Certification dateFebruary 6, 2024
Mailing address441 Se 3rd Ct, Deerfield Beach, FL 33441-4727

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Oakland Park