Tyler Jeffrey Mize, PA-C | |
5575 E Sr 44, Wildwood, FL 34785-8282 | |
(352) 571-4418 | |
Not Available |
Full Name | Tyler Jeffrey Mize |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 5575 E Sr 44, Wildwood, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457901530 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PA9112561 (Florida) | Primary |
363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Tyler Jeffrey Mize, PA-C 2009 N Lakecrest Loop, Hernando, FL 34442-6259 Ph: (423) 505-7540 | Tyler Jeffrey Mize, PA-C 5575 E Sr 44, Wildwood, FL 34785-8282 Ph: (352) 571-4418 |
Farah Siddiquah Persad, Physician Assistant Medicare: Medicare Enrolled Practice Location: 601 Gray Ave, Wildwood, FL 34785 Phone: 352-492-5611 | |
Ms. Kourtney Lauren Gates, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 601 Gray Ave, Wildwood, FL 34785 Phone: 352-492-5611 | |
Tracy M. Creel, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 411 Webster St, Wildwood, FL 34785 Phone: 352-748-6689 Fax: 352-748-6381 |