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Gilman R Tyler MD PA

Surgery in Tampa, FL. Organization (NPI-2).

NPI number1245471069
StatusActive
Last updated in NPPESDec 14, 2010

Details

NPI
1245471069
Entity type
Organization (NPI-2)
Legal business name
Gilman R Tyler MD PA
Organization subpart
No
Enumeration date
Mar 9, 2009
Last updated
Dec 14, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X SurgeryME48678FLYes
2086S0129X ME48678FL

Practice location

602 S Audubon Ave
Ste A
Tampa, FL 33609-4217

Phone 813-877-1415

Mailing address

602 S Audubon Ave
Ste A
Tampa, FL 33609-4217

Phone 813-877-1415

Authorized official

Jennifer Martinez
Billing
8134961075

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