Individual provider · Type 1 NPI

Tyler Lane Vail, PA-C

Surgical Physician Assistant · Pembroke Pines, FL

NPI number 1902235971 Active

Practice location

17779 SW 2nd St
Pembroke Pines, FL 33029-3924

Call (954) 322-1110 Map

Fax (954) 322-1099

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA9107669 (FL)
Surgical Physician Assistant Primary 363AS0400XPA9107669 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1902235971

Tyler Lane Vail, PA-C's National Provider Identifier is 1902235971, issued on Nov 11, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Pembroke Pines, FL. The record was last updated on Nov 11, 2013.