Healthcare Provider Details

I. General information

NPI: 1962326645
Provider Name (Legal Business Name): TIMBER ABINSAY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

580 W 8TH ST
JACKSONVILLE FL
32209-6533
US

IV. Provider business mailing address

761 OLD HICKORY RD
JACKSONVILLE FL
32207-8803
US

V. Phone/Fax

Practice location:
  • Phone: 904-422-9111
  • Fax:
Mailing address:
  • Phone: 904-422-9111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number45885
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: