Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYLER JAY STALEY, M.D.
ActiveTYLER JAY STALEY, M.D. is a Sports Medicine (PM&R) healthcare provider located in DAYTONA BEACH, Florida. NPI 1013189877 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · DAYTONA BEACH, FL
Registration Details
- NPI Number
- 1013189877
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 1, 2008 (18.41561627614 yrs)
- Last Updated
- Jul 11, 2013
- Licenses
-
44335 (KY)112139 (FL)
Practice Information
- Address
-
350 N CLYDE MORRIS BLVDDAYTONA BEACH, FL, 321142733Browse FL providers · Browse ZIP 32114
- Phone
- 3862383290
- Fax
- 3862383278
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
- Additional Specialty
- Sports Medicine (PM&R)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.