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NPI Code Detail

MEDICARE: MISS NORETHA GIBBS TIMMONS BACHELORS DEGREE

MEDICARE: MISS NORETHA GIBBS TIMMONS BACHELORS DEGREE
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1699810218
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS NORETHA GIBBS TIMMONS BACHELORS DEGREE
Provider Business Mailing Address
First Line : 10909 MEMORIAL HWY
Second Line :
City : TAMPA
State : FL
Zip : 33615-2511
Country : US
Telephone Number : 813-901-3438
Fax Number : 813-882-3689
Provider Business Practice Location Address
First Line : 5520 W IDLEWILD AVE
Second Line :
City : TAMPA
State : FL
Zip : 33634-8015
Country : US
Telephone Number : 813-901-3438
Fax Number : 813-882-3689
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2007
Last Update Date : 07/08/2007

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