Tyler,, Thom L.
Tyler,, Thom L. is an sole proprietor health care provider with primary practice located at 6440 W Newberry Rd Suite 408, Gainesville FL 32605-4381. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Tyler,, Thom L. can be contacted via phone (352) 333-5000.Contact Information
Primary practice address
6440 W Newberry Rd Suite 408
Gainesville FL 32605-4381
Phone: (352) 333-5000
Fax: (352) 333-5006
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | ME36132 | Florida |
Profile Details
| NPI number | 1780682054 |
|---|---|
| LBN Legal business name | Tyler,, Thom L. |
| Credentials | MD, P.A. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Jul 28th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780682054 | NPPES |
| Florida | MEDICAID | 066787100 |
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