1508352915 NPI number — TYLER GREG EGAN PA-C

Table of content: TYLER GREG EGAN PA-C (NPI 1508352915)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508352915 NPI number — TYLER GREG EGAN PA-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
EGAN
Provider First Name:
TYLER
Provider Middle Name:
GREG
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PA-C
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1508352915
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/16/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
425 W COLONIAL DR STE 303
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ORLANDO
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32804-6863
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
321-332-6947
Provider Business Mailing Address Fax Number:
407-286-4515

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
130 SW 7TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WILLISTON
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32696-2404
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
352-528-5801
Provider Business Practice Location Address Fax Number:
352-528-6019
Provider Enumeration Date:
07/09/2018

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363A00000X , with the licence number:  PA9111365 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 111297700 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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