Dr. Tyler Scott Lacertosa
Occupational Therapist
201 N Clyde Morris Blvd Ste 300
Daytona Beach
, Florida 32114-2765
Dr. Tyler Scott Lacertosa
Occupational Therapist
201 N Clyde Morris Blvd Ste 300
Daytona Beach
, Florida 32114-2765
(904) 345-7336
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About
Features
Specialties
- Occupational Therapist
Languages spoken
- English
Location
First Address
- Dr. Tyler Scott Lacertosa
- 3901 University Blvd S
- Jacksonville, FL
- Zip : 32216-4312
- Phone : (904) 345-7336
Second Address
- Dr. Tyler Scott Lacertosa
- 201 N Clyde Morris Blvd Ste 300
- Daytona Beach, FL
- Zip : 32114-2765
- Phone : (386) 236-7017
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 18954 | FL |
National Provider Identifier
| NPI | 1003316274 |
|---|---|
| Provider Name | Dr. Tyler Scott Lacertosa |
| First Address | Jacksonville, FL 32216-4312 |
| Second Address | Daytona Beach, FL 32114-2765 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/02/2018 |
| Last Update Date | 14/02/2018 |
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.