Individual
DR. TYLER JONATHAN RAUWOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4885 ANTRIM DR, SARASOTA, FL 34240-4305
(708) 363-7476
Mailing address
4885 ANTRIM DR, SARASOTA, FL 34240-4305
(708) 363-7476
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
171400000X
Health & Wellness Coach
Primary
—
—
235500000X
Speech/Language/Hearing Specialist/Technologist
—
—
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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