Individual
DR. TYLER BURGESS BRAHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
300 JEFFORDS ST, STE D, CLEARWATER, FL 33756-3810
(727) 446-2190
(727) 446-3350
Mailing address
300 JEFFORDS ST, STE D, CLEARWATER, FL 33756-3810
(727) 446-2190
(727) 446-3350
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO922
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942277694
NPI
FL
Enumeration date
03/01/2006
Last updated
02/11/2013
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