Stoots, Tyler Jack
Stoots, Tyler Jack is an individual health care provider with primary practice located at 390 N Courtenay Pkwy , Merritt Island FL 32953-3456. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Stoots, Tyler Jack can be contacted via phone (321) 633-3162.Contact Information
Primary practice address
390 N Courtenay Pkwy
Merritt Island FL 32953-3456
Phone: (321) 633-3162
Fax: (321) 821-4955
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA 9107491 | Florida |
Profile Details
| NPI number | 1548682941 |
|---|---|
| LBN Legal business name | Stoots, Tyler Jack |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 20th, 2014 |
| Last updated | Feb 9th, 2023 - 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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