Search › Florida › 183500000X
Tyler Johansson
NPI 1750984860 · on the registry since 2020 · sole proprietor
Practice
- Address
- 4500 Donald Ross Rd
Palm Beach Gardens, FL 33418 - Phone
- (561) 624-3799
- Organisation at this address
- Holiday Cvs, L.L.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-11-19
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