Individual
TYLER WAYNE THRASHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 355-1122
Mailing address
1611 NW 12TH AVE RM 1004, MIAMI, FL 33136-1005
(305) 355-1122
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2024-02363
NC
Other
Enumeration date
03/23/2020
Last updated
12/11/2024
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