Martin, Tyler Parent
Martin, Tyler Parent is an individual health care provider with primary practice located at 2402 Frist Blvd Ste 102 , Fort Pierce FL 34950-4838. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Martin, Tyler Parent can be contacted via phone (772) 465-4651.Contact Information
Primary practice address
2402 Frist Blvd Ste 102
Fort Pierce FL 34950-4838
Phone: (772) 465-4651
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | Florida | |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9114555 | Florida |
Profile Details
NPI number | 1730755323 |
---|---|
LBN Legal business name | Martin, Tyler Parent |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 3rd, 2021 |
Last updated | Jan 26th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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