Tyler Jay Staley
Physical Medicine & Rehabilitation Doctor Sports Medicine
350 N Clyde Morris Blvd
Daytona Beach
, Florida 32114-2733
Tyler Jay Staley
Physical Medicine & Rehabilitation Doctor Sports Medicine
350 N Clyde Morris Blvd
Daytona Beach
, Florida 32114-2733
(386) 676-7125
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
- Sports Medicine
Languages spoken
- English
Location
First Address
- Tyler Jay Staley
- Po Box 9671
- Daytona Beach, FL
- Zip : 32120-9671
- Fax : (386) 676-7125
- Phone : (386) 676-7130
Second Address
- Tyler Jay Staley
- 350 N Clyde Morris Blvd
- Daytona Beach, FL
- Zip : 32114-2733
- Fax : (386) 238-3278
- Phone : (386) 238-3290
Reviews
FAQs
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What type of doctor is Tyler Jay Staley
In what state does Tyler Jay Staley practice in?
Where is Tyler Jay Staley ’s practice located?
What is Tyler Jay Staley ’s gender?
Is Tyler Jay Staley a sole practitioner?
Is Tyler Jay Staley accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation Doctor | 44335 | KY |
| Y | 2081S0010X | Sports Medicine | 112139 | FL |
| Y | 213ES0000X | Sports Medicine | 112139 | FL |
National Provider Identifier
| NPI | 1013189877 |
|---|---|
| Provider Name | Tyler Jay Staley |
| First Address | Daytona Beach, FL 32120-9671 |
| Second Address | Daytona Beach, FL 32114-2733 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/04/2008 |
| Last Update Date | 11/07/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 007276600 | (05) | FL |
| 1013189877 | TRICARE (01) | FL |
| 14MV1 | BCBS (01) | FL |
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.