Vail, Tyler Lane

Vail, Tyler Lane is an individual health care provider with primary practice located at 17779 Sw 2Nd St , Pembroke Pines FL 33029-3924. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Vail, Tyler Lane can be contacted via phone (954) 322-1110.

Contact Information

Primary practice address
17779 Sw 2Nd St Pembroke Pines FL 33029-3924
Phone: (954) 322-1110
Fax: (954) 322-1099
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9107669 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9107669 Florida

Profile Details

NPI number 1902235971
LBN Legal business name Vail, Tyler Lane
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2013
Last updated Nov 11th, 2013 - about 12 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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