Individual
TYLER JAY STALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2733
(386) 238-3290
(386) 238-3278
Mailing address
PO BOX 9671, DAYTONA BEACH, FL 32120-9671
(386) 676-7130
(386) 676-7125
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
44335
KY
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
112139
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007276600
—
FL
01
—
1013189877
TRICARE
FL
01
—
14MV1
BCBS
FL
Enumeration date
04/01/2008
Last updated
07/11/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us