Individual
TYLER FEARNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
1000 36TH ST, VERO BEACH, FL 32960-4862
(772) 567-4311
Mailing address
5586 40TH AVE, VERO BEACH, FL 32967-2467
(772) 403-3704
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA564
FL
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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