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TYLER LANE VAIL PA-C
NPI 1902235971
Physician Assistant - Surgical in Pembroke Pines, FL

Active since November 11, 2013PECOS Enrolled
17779 SW 2ND ST, PEMBROKE PINES, FL 33029(954) 322-1110(954) 322-1099 Get Directions Write a Review

NPPES record last updated: November 11, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tyler Lane Vail Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYLER LANE VAIL PA-C (NPI 1902235971) is an individual surgical provider in Pembroke Pines, Florida, licensed in Florida (PA9107669) and active in the NPI registry since November 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902235971
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameTYLER LANE VAILCredential: PA-C
Location Address17779 SW 2ND STPembroke Pines, FL 33029-3924
Mailing Address17779 Sw 2nd StPembroke Pines, FL 33029-3924 · (954) 322-1110 · Fax (954) 322-1099
Phone(954) 322-1110
Fax(954) 322-1099
Sole ProprietorNo
Enumeration DateNovember 11, 2013
✔ NPI 1902235971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in FL · PA9107669
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA9107669 (FL)
17779 SW 2ND ST, Pembroke Pines, FL 33029
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tyler Lane Vail Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AUGUSTINE A BOLLO DPM
Podiatrist (Foot & Ankle Surgery)
17779 SW 2ND ST
PEMBROKE PINES, FL 33029
Broward County (954) 450-0099
ALL PRO MEDICAL CENTER, PLLC.
Pain Medicine (Pain Medicine)
17779 SW 2ND ST
PEMBROKE PINES, FL 33029
Broward County (954) 322-1110
ROYAL PALM BEACH REHAB, CORP.
Orthopaedic Surgery
17779 SW 2ND ST
PEMBROKE PINES, FL 33029
Broward County (561) 588-9912
JUAN CARLOS URRA
Specialist/Technologist, Other (Orthopedic Assistant)
17779 SW 2ND ST
PEMBROKE PINES, FL 33029
Broward County (954) 322-1110
MR. JESSE SHAW DO
Orthopaedic Surgery
17779 SW 2ND ST
PEMBROKE PINES, FL 33029
Broward County (954) 450-0099
MRS. JENNIFER NIEVES-CUNNINGHAM ARNP
Nurse Practitioner (Family)
17779 SW 2ND ST
PEMBROKE PINES, FL 33029
Broward County (954) 431-2122
ALL-PRO ORTHOPEDICS AND SPORTS MEDICINE PA
Orthopaedic Surgery
17779 SW 2ND ST
PEMBROKE PINES, FL 33029
Broward County (954) 450-0099

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyler Vail's NPI number?

The NPI number for Tyler Vail is 1902235971. It was assigned to this individual provider in the NPPES registry on November 11, 2013.

Where is Tyler Vail located?

Tyler Vail practices at 17779 SW 2nd St, Pembroke Pines, FL 33029. The listed phone number is (954) 322-1110.

What is Tyler Vail's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Tyler Vail enrolled in Medicare?

Yes. Tyler Vail is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tyler Vail was last updated on November 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.