Individual
MR. TYLER FALCAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
4820 DEER LAKE DR W # D-9, JACKSONVILLE, FL 32246-4500
(904) 998-9129
Mailing address
2554 KEYLIME ST NE, PALM BAY, FL 32905-4731
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 4690
FL
2255A2300X
Athletic Trainer
RT006227
PA
Other
Enumeration date
03/24/2016
Last updated
12/20/2016
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