Healthcare Provider Details

I. General information

NPI: 1316871106
Provider Name (Legal Business Name): DYLAN ROBIC-MYARA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13405 PANAMA CITY BEACH PKWY STE A
PANAMA CITY BEACH FL
32407-2885
US

IV. Provider business mailing address

137 DAMA DEL MAR WAY
PANAMA CITY BEACH FL
32407-2400
US

V. Phone/Fax

Practice location:
  • Phone: 850-236-7497
  • Fax:
Mailing address:
  • Phone: 850-236-7497
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number44156
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: