Individual
TYLER MCDERMOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-1009
(352) 265-0291
Mailing address
1234 SHANNON DR, IOWA CITY, IA 52246-4171
(641) 431-1326
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
ME161478
FL
2085R0202X
Diagnostic Radiology Physician
Primary
R-11227
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118624700
—
FL
Enumeration date
06/08/2018
Last updated
06/20/2024
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