| Tyler Andrew Moyer, DC | |
|
4140 Woodmere Park Blvd Ste 2, Venice, FL 34293-2205 | |
| (941) 497-7424 | |
| Not Available |
| Full Name | Tyler Andrew Moyer |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 4140 Woodmere Park Blvd Ste 2, Venice, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609529056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH13910 (Florida) | Primary |
| Provider Name | Venice Village Chiropractic Clinic Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1033302492 PECOS PAC ID: 9133219470 Enrollment ID: O20071226000345 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Andrew Moyer, DC 4140 Woodmere Park Blvd Ste 2, Venice, FL 34293-2205 Ph: () - | Tyler Andrew Moyer, DC 4140 Woodmere Park Blvd Ste 2, Venice, FL 34293-2205 Ph: (941) 497-7424 |
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Venice Village Chiropractic Clinic Pa Chiropractor Medicare: Medicare Enrolled Practice Location: 4140 Woodmere Park Blvd, Ste 2, Venice, FL 34293 Phone: 941-497-7424 Fax: 941-493-8413 | |
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