MEDICARE: DR. TIMOTHY F KELLY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	ME0039333	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184606816
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIMOTHY F KELLY M.D.

Provider Business Mailing Address
First Line	:	4919 MEMORIAL HWY STE 150
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33634-7516
Country	:	US
Telephone Number	:	813-333-1512
Fax Number	:	813-333-1561

Provider Business Practice Location Address
First Line	:	1840 MEASE DR
Second Line	:	SUITE 406
City	:	SAFETY HARBOR
State	:	FL
Zip	:	34695-6602
Country	:	US
Telephone Number	:	727-712-8222
Fax Number	:	727-712-8229

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2005
Last Update Date	:	02/18/2022

Similar Medicare Providers

1508861121 — ROBERT T ROTH M.D.
Practice Location Address:

1840 MEASE DR , SUITE 301
SAFETY HARBOR, FL
34695-6602

Practice Phone: 727-724-2880
Practice Fax: 727-333-6419

1457359390 — DR. ROBERT JAY STEIN MD
Practice Location Address:

1840 MEASE DR , SUITE 307
SAFETY HARBOR, FL
34695-6602

Practice Phone: 727-725-6128
Practice Fax: 727-725-6168

1851399885 — DR. JACK EDWARD RASHKIN MD
Practice Location Address:

1840 MEASE DR , SUITE 400
SAFETY HARBOR, FL
34695-6602

Practice Phone: 727-725-6128
Practice Fax: 727-725-6168

1801888706 — NAZANIN ROBOUBI DPM
Practice Location Address:

1840 MEASE DR , SUITE 315
SAFETY HARBOR, FL
34695-6602

Practice Phone: 727-631-1592
Practice Fax: 727-631-1592

1902892953 — DR. AARON T WILLIAMS MD
Practice Location Address:

1840 MEASE DR , SUITE 110
SAFETY HARBOR, FL
34695-6602

Practice Phone: 727-725-5121
Practice Fax: 727-725-5417

1629064670 — MR. JOSHUA GOLDMAN MD
Practice Location Address:

1840 MEASE DR , SUITE 110
SAFETY HARBOR, FL
34695-6602

Practice Phone: 727-725-5121
Practice Fax: 727-725-5417

Directions to “ DR. TIMOTHY F KELLY M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.