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DR. TYLER SCOTT ALDERETTE MD

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1528649068

Individual Registrant:
DR. TYLER SCOTT ALDERETTE MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
7031 SW 62ND AVE  SOUTH MIAMI, FL 33143-4701 US
Tel: 305-284-7761  Fax: --

Contact information for business:
2701 BISCAYNE BLVD APT 2105  MIAMI, FL 33137-4630 US
Tel: 571-246-6562  Fax: --

Registration Information:
NPI: 1528649068
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y390200000XStudent
Organized Health Care Education/Training Program
FL

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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