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Tyler Lacertosa, OTD
NPI 1003316274 · on the registry since 2018 · sole proprietor
Practice
- Address
- 201 N Clyde Morris Blvd Ste 300
Daytona Beach, FL 32114 - Phone
- (386) 236-7017
- Organisation at this address
- East Coast Bariatrics, Inc.
Interventional Pain Service Llc
Genesis Health Development, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 110
Registry record
- Primary taxonomy
- Occupational Therapist
225X00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-02-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida