MEDICARE: TYLER JEFFREY CARDILLO PA-C

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
1	363A00000X	Physician Assistant	PA0006776	CO

General Provider Information

NPI Number	:	1669027967
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TYLER JEFFREY CARDILLO PA-C

Provider Business Mailing Address
First Line	:	960 LASSINO CT
Second Line	:
City	:	PUNTA GORDA
State	:	FL
Zip	:	33950-6524
Country	:	US
Telephone Number	:	941-505-6120
Fax Number	:

Provider Business Practice Location Address
First Line	:	620 S LEMAY AVE
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80524-3543
Country	:	US
Telephone Number	:	970-221-5811
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2019
Last Update Date	:	12/16/2021

Similar Medicare Providers

1144330739 — EMILY MCCOY
Practice Location Address:

620 S LEMAY AVE
FORT COLLINS, CO
80524-3543

Practice Phone: 970-482-5242
Practice Fax:

1205980463 — MR. BRIAN JAMES THOMPSON M.D.
Practice Location Address:

620 S LEMAY AVE
FORT COLLINS, CO
80524-3543

Practice Phone: 970-482-6620
Practice Fax: 970-482-6626

1598928301 — GENERALCARE HEALTH SERVICES
Practice Location Address:

620 S LEMAY AVE
FORT COLLINS, CO
80524-3543

Practice Phone: 970-482-6620
Practice Fax: 970-482-6626

1801138102 — FAMILY HEALTH PRACTITIONERS, LLC
Practice Location Address:

909 RIVER OAK RUN
FORT WAYNE, IN
46804-3543

Practice Phone: 812-653-0312
Practice Fax:

1588087076 — MR. LARRY PHILIP GARRETT M.D.
Practice Location Address:

3543 STUART CT
FORT MYERS, FL
33901

Practice Phone: 239-334-4696
Practice Fax:

1396351870 — PRINCIPLES OF LEARNING INC
Practice Location Address:

6361 PRESIDENTIAL CT , C-111
FORT MYERS, FL
33919-3543

Practice Phone: 786-712-1556
Practice Fax:

Directions to “ TYLER JEFFREY CARDILLO PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.