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

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1013189877

Tyler Jay Staley, MD is a Sports Medicine in Daytona Beach, Florida. Qualified in 2007, 19 years ago. Practices with Florida Health Care Plan Inc, a 98-clinician group and accepts Medicare assignment. Licensed in Florida and Kentucky.

Years since qualifying
19
Licensed in
FL, KY
In the registry since
2008
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

350 N Clyde Morris Blvd
Daytona Beach, FL 32114-2733
Phone: (386) 238-3290
Fax: (386) 238-3278
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X · Licence 112139 (FL)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 44335 (KY)

Record details

NPI number1013189877
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2008
Last updated in NPPESJuly 11, 2013
Mailing addressPo Box 9671, Daytona Beach, FL 32120-9671

Medicare enrollment

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

Medicare specialtySPORTS MEDICINE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Florida Health Care Plan Inc — 98 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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