Dr. Brandon Tyler Worley
Dermatologist Procedural Dermatology MOHS-Micrographic Surgeon
421 Linden Ln
Lake Wales
, Florida 33853-4342
Dr. Brandon Tyler Worley
Dermatologist Procedural Dermatology MOHS-Micrographic Surgeon
421 Linden Ln
Lake Wales
, Florida 33853-4342
(312) 695-0664
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Dr. Brandon Tyler Worley
- 421 Linden Ln
- Lake Wales, FL
- Zip : 33853-4342
- Fax : (312) 695-0664
- Phone : (312) 695-7932
Second Address
- Dr. Brandon Tyler Worley
- 421 Linden Ln
- Lake Wales, FL
- Zip : 33853-4342
- Fax : (863) 676-1015
- Phone : (855) 353-7546
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | 036.148375 | IL |
| N | 207N00000X | Dermatologist | ME143350 | FL |
| Y | 207ND0101X | MOHS-Micrographic Surgeon | ME143350 | FL |
| N | 207NS0135X | Procedural Dermatology | ME143350 | FL |
National Provider Identifier
| NPI | 1457823809 |
|---|---|
| Provider Name | Dr. Brandon Tyler Worley |
| First Address | Lake Wales, FL 33853-4342 |
| Second Address | Lake Wales, FL 33853-4342 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/12/2018 |
| Last Update Date | 16/10/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.