Healthcare Provider Details

I. General information

NPI: 1376512574
Provider Name (Legal Business Name): JAMES E HYLER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/17/2006
Last Update Date: 05/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5955 RAND BLVD
SARASOTA FL
34238
US

IV. Provider business mailing address

5955 RAND BLVD
SARASOTA FL
34238-5160
US

V. Phone/Fax

Practice location:
  • Phone: 941-552-7508
  • Fax: 941-552-7605
Mailing address:
  • Phone: 941-552-7508
  • Fax: 941-552-7605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License NumberME26148
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: