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Individual

DR. TYLER K SUDWEEKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0077
Mailing address
7003 SW 85TH TER, GAINESVILLE, FL 32608-5691
(515) 779-7252

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
UO2739
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
015142300
FL
Enumeration date
06/21/2011
Last updated
08/14/2015
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