Agnew, Tyler David

Agnew, Tyler David is an individual health care provider with primary practice located at 2080 Child St Dept 5000 , Jacksonville FL 32214-5000. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Agnew, Tyler David can be contacted via phone (904) 542-4677.

Contact Information

Primary practice address
2080 Child St Dept 5000 Jacksonville FL 32214-5000
Phone: (904) 542-4677
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 0101270164 Virginia

Profile Details

NPI number 1598239808
LBN Legal business name Agnew, Tyler David
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2019
Last updated Sep 24th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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