Individual
DR. TYLER MATTINGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
463386 STATE ROAD 200 UNIT A, YULEE, FL 32097-3240
(904) 406-3888
Mailing address
705 WELLS RD STE 300, ORANGE PARK, FL 32073-2982
(904) 282-6331
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS20033
FL
Other
Enumeration date
03/26/2018
Last updated
05/08/2023
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