Individual provider · Type 1 NPI
Tyler Prager
Foot & Ankle Surgery Podiatrist · Boynton Beach, FL
NPI number
1336795590
Active
Practice location
2815 S Seacrest Blvd
Boynton Beach, FL 33435-7969
Mailing address
11975 Fox Hill Cir
Boynton Beach, FL 33473-7833
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 607 (FL) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1336795590
Tyler Prager's National Provider Identifier is 1336795590, issued on Aug 14, 2019. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Boynton Beach, FL. The record was last updated on Aug 14, 2019.