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

Tyler Pettis

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1982341863

Tyler Pettis is a Student in an Organized Health Care Education/Training Program in Tallahassee, Florida. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1401 Centerville Rd Ste 107
Tallahassee, FL 32308-4638
Phone: (850) 431-5567
Fax: (850) 431-5563
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1982341863
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 12, 2022
Last updated in NPPESMay 12, 2022
Certification dateMay 12, 2022
Mailing address1401 Centerville Rd Ste 107, Tallahassee, FL 32308-4638

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