Sorensen, Tyler Kenneth

Sorensen, Tyler Kenneth is an individual health care provider with primary practice located at 981 Kingsley Ave , Orange Park FL 32073-4742. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Sorensen, Tyler Kenneth can be contacted via phone (904) 269-9595.

Contact Information

Primary practice address
981 Kingsley Ave Orange Park FL 32073-4742
Phone: (904) 269-9595
Fax: (904) 264-5211
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO4400 Florida

Profile Details

NPI number 1104310929
LBN Legal business name Sorensen, Tyler Kenneth
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2018
Last updated Jul 25th, 2022 - about 3 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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