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

Tyler Lane Vail, PA-C

Individual provider Medical Physician Assistant · NPI 1902235971

Tyler Lane Vail, PA-C is a Medical Physician Assistant in Pembroke Pines, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

17779 SW 2nd St
Pembroke Pines, FL 33029-3924
Phone: (954) 322-1110
Fax: (954) 322-1099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9107669 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA9107669 (FL)

Record details

NPI number1902235971
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 11, 2013
Last updated in NPPESNovember 11, 2013

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