Individual
DYLAN ROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12517 TATTERSALL PARK LN, TAMPA, FL 33625-3911
(386) 986-7255
Mailing address
12517 TATTERSALL PARK LN, TAMPA, FL 33625-3911
(386) 986-7255
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11039710
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
01/13/2025
Last updated
07/23/2025
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