Individual provider · Type 1 NPI

Tyler Douglas Brodeur

Physician Assistant · Mangonia Park, FL

NPI number 1023812237 Active

Practice location

901 45th St
Mangonia Park, FL 33407-2413

Call (561) 844-5255 Map

Fax (561) 844-5245

Mailing address

1505 N Flagler Dr, Ste 500
West Palm Beach, FL 33401

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9120211 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1023812237

Tyler Douglas Brodeur's National Provider Identifier is 1023812237, issued on Apr 4, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Mangonia Park, FL. The record was last updated on Oct 21, 2025.