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NPI Code Detail

MEDICARE: TYLER BURTON

MEDICARE: TYLER BURTON
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
1367H00000XAnesthesiologist Assistant1130FL

General Provider Information

NPI Number : 1922970474
Entity Type Code : Individual
Provider Name (Legal Business Name) : TYLER BURTON
Provider Business Mailing Address
First Line : 2995 DREW ST FL 2
Second Line :
City : CLEARWATER
State : FL
Zip : 33759-3012
Country : US
Telephone Number : 727-532-0002
Fax Number :
Provider Business Practice Location Address
First Line : 3231 MCMULLEN BOOTH RD
Second Line :
City : SAFETY HARBOR
State : FL
Zip : 34695-6607
Country : US
Telephone Number : 727-725-6111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2025
Last Update Date : 02/09/2026

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Directions to “ TYLER BURTON ” Practice Location

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