Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tyler Douglas Hickerson, CNIM

Individual provider Electroneurodiagnostic Specialist/Technologist · NPI 1861994584

Tyler Douglas Hickerson, CNIM is an Electroneurodiagnostic Specialist/Technologist in Winter Park, Florida. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

127 W Fairbanks Ave # 180
Winter Park, FL 32789-4326
Phone: (239) 443-8739
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Electroneurodiagnostic Specialist/Technologist (primary) Taxonomy 246ZE0600X · Licence 3216

Record details

NPI number1861994584
Entity typeIndividual (Type 1)
GenderMale
Credentials CNIM
Sole proprietorNo
NPI enumeratedMarch 8, 2018
Last updated in NPPESMarch 8, 2018

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