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Individual

DR. TYLER MORIARTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3001 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6307
(407) 841-5133
(813) 870-4000
Mailing address
2502 W SAINT ISABEL ST, TAMPA, FL 33607-6318
(813) 874-5707

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
167170
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN32848
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
167170
STATE MEDICAL LICENSE
FL
Enumeration date
06/28/2021
Last updated
06/25/2025
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