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

Tyler Fong, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1023541646

Tyler Fong, MD is an Anesthesiology in Orlando, Florida. Qualified in 2017, 9 years ago. Practices with Florida Clinical Practice Association Inc, a 1,885-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

62 Columbia St
Orlando, FL 32806-1115
Phone: (321) 214-4903
Fax: (321) 841-2196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence ME151110 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1023541646
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 10, 2017
Last updated in NPPESJuly 17, 2023
Certification dateJuly 17, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Florida Clinical Practice Association Inc — 1885 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations13 on file with Medicare

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