person
Tyler Douglas Hickerson, CNIM
Electroneurodiagnostic Specialist/Technologist in Winter Park, Florida
NPI 1861994584

Tyler Douglas Hickerson is a Electroneurodiagnostic Specialist/Technologist based in Winter Park, FL and is specialized in Electroneurodiagnostic. Tyler Douglas Hickerson practices in Winter Park, FL and has the professional credentials of CNIM. The NPI Number for Tyler Douglas Hickerson is 1861994584 and holds a License No. 3216 (Florida).

The current practice location address for Tyler Douglas Hickerson is 127 W Fairbanks Ave # 180, Winter Park, FL and can be reached out via phone at 239-443-8739.

Location: 127 W Fairbanks Ave # 180, Winter Park, FL, 32789-4326
person
Provider Profile Details
NPI Number
1861994584
Provider Name
Tyler Douglas Hickerson
Credential
CNIM
Provider Entity Type
Individual
Gender
Male
Address
127 W Fairbanks Ave # 180, Winter Park, FL, 32789-4326
Phone Number
239-443-8739
Fax Number
Provider Enumeration Date
03/08/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
127 W Fairbanks Ave # 180
City
State
Zip
32789-4326
Phone Number
239-443-8739
Fax Number
person
Provider Business Mailing Address Details
Address
127 W Fairbanks Ave # 180
City
State
Zip
32789-4326
Phone Number
239-443-8739
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
Electroneurodiagnostic
Taxonomy
License No.
3216 ()
Definition
Definition to come...
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