Healthcare Provider Details

I. General information

NPI: 1407359565
Provider Name (Legal Business Name): TYLER OGDEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2018
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7101 FAIRWAY DR
PALM BEACH GARDENS FL
33418-3701
US

IV. Provider business mailing address

7101 FAIRWAY DR
PALM BEACH GARDENS FL
33418-3701
US

V. Phone/Fax

Practice location:
  • Phone: 156-151-5150
  • Fax:
Mailing address:
  • Phone: 305-243-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberME172862
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: