Rodericks, Tyler

Rodericks, Tyler is an individual health care provider with primary practice located at 12416 66Th St Ste A , Largo FL 33773-3430. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Rodericks, Tyler can be contacted via phone (727) 547-4700.

Contact Information

Primary practice address
12416 66Th St Ste A Largo FL 33773-3430
Phone: (727) 547-4700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PDL1528 Massachusetts
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X PO4481 Florida

Profile Details

NPI number 1760045447
LBN Legal business name Rodericks, Tyler
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2019
Last updated Jun 3rd, 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.

Request for update

Popular Providers