NPI 1013189877

Tyler Jay Staley, MD

Practitioner Sports Medicine (Physical Medicine & Rehabilitation) Physician Daytona Beach, FL

Practice location

Address: 350 N Clyde Morris Blvd, Daytona Beach, FL 32114-2733
Phone: (386) 238-3290
Fax: (386) 238-3278
Mailing address: PO Box 9671, Daytona Beach, FL 32120-9671

Registered specialties (2)

Sports Medicine (Physical Medicine & Rehabilitation) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2081S0010X Licence 112139 (FL)

Other Physical Medicine & Rehabilitation providers in Florida →

Physical Medicine & Rehabilitation Physician

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 44335 (KY)

Registry record

NPI: 1013189877
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Apr 2008
Record last updated: 11 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.