Provider Demographics
NPI:1124253158
Name:DAVID S HYLER II MD PA
Entity type:Organization
Organization Name:DAVID S HYLER II MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:SCRIBNER
Authorized Official - Last Name:HYLER
Authorized Official - Suffix:II
Authorized Official - Credentials:MD
Authorized Official - Phone:904-264-1628
Mailing Address - Street 1:PO BOX 9479
Mailing Address - Street 2:
Mailing Address - City:FLEMING ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32006-0029
Mailing Address - Country:US
Mailing Address - Phone:904-264-1628
Mailing Address - Fax:904-264-8386
Practice Address - Street 1:1560 KINGSLEY AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073-4593
Practice Address - Country:US
Practice Address - Phone:904-264-1628
Practice Address - Fax:904-264-8386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-19
Last Update Date:2009-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0056732207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty