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Individual

DR. TYLER JOHN LOFTUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
SHANDS AT THE UNIVERSITY OF FLORIDA, 1600 SW ARCHER ROAD, GAINESVILLE, FL 32610-0001
(352) 265-0916
Mailing address
PO BOX 100109, GAINESVILLE, FL 32610-0109
(352) 265-0761
(352) 265-0190

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
17242
FL
208600000X
Surgery Physician
Primary
ME141907
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
107435200
FL
Enumeration date
06/05/2012
Last updated
12/30/2020
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