Search › Florida › 207R00000X
Tyler House, D.O
NPI 1982020319 · on the registry since 2014 · sole proprietor
Practice
- Address
- 11261 San Jose Blvd
Jacksonville, FL 32223 - Phone
- (904) 292-9033
- Fax
- (904) 292-4127
- Organisation at this address
- Baptist Primary Care Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 13
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-07-21
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