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NPI Code Detail

MEDICARE: GERARD TYLOR TEAMER

MEDICARE:   GERARD TYLOR TEAMER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WE0003XEmergency Registered NurseRN9621961FL

General Provider Information

NPI Number : 1124973581
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERARD TYLOR TEAMER
Provider Business Mailing Address
First Line : 562 ROBIN HILL CIR
Second Line :
City : BRANDON
State : FL
Zip : 33510-3319
Country : US
Telephone Number : 813-894-8655
Fax Number :
Provider Business Practice Location Address
First Line : 6150 S FLORIDA AVE
Second Line :
City : LAKELAND
State : FL
Zip : 33813-3306
Country : US
Telephone Number : 863-687-1100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/02/2026

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Directions to “ GERARD TYLOR TEAMER ” Practice Location

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