Individual
MR. TYLER MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
711 NW 1ST ST, GAINESVILLE, FL 32601-5343
(866) 427-5451
Mailing address
1485 S SEMORAN BLVD, 1402, WINTER PARK, FL 32792-5533
(321) 397-3000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TMELTON1689
—
FL
Enumeration date
04/11/2017
Last updated
04/11/2017
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