Individual
DR. TYLER J TANTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
951 N WASHINGTON AVE BLDG 4, TITUSVILLE, FL 32796-2194
(321) 268-6111
Mailing address
951 N WASHINGTON AVE BLDG 4, TITUSVILLE, FL 32796-2194
(321) 268-6111
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
339588
LA
207XS0106X
Orthopaedic Hand Surgery Physician
339588
LA
Other
Enumeration date
03/20/2018
Last updated
04/16/2026
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