Provider Demographics
NPI:1710413562
Name:SCHMITZ, TYLER JORDAN (DO)
Entity type:Individual
Prefix:DR
First Name:TYLER
Middle Name:JORDAN
Last Name:SCHMITZ
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4205 BELFORT RD STE 4015
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-3623
Mailing Address - Country:US
Mailing Address - Phone:904-450-6063
Mailing Address - Fax:904-539-4091
Practice Address - Street 1:4551 N DAVIS HWY STE A
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-2782
Practice Address - Country:US
Practice Address - Phone:850-494-9002
Practice Address - Fax:850-679-1501
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS21756207QS0010X
FLOS16978207QS0010X
SC83723207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine