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Contact Information

TYLER L HANSON, PA-C
929 NORTH US HWY 441/27
SUITE 601
LADY LAKE, FL32159
 Phone: 352-633-0473
 Fax: 866-208-9972
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for TYLER L HANSON · (Male)

NPI Number 1043031453
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/18/2024
Last updated 03/28/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • FL License # PA9119365
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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