Healthcare Provider Details

I. General information

NPI: 1588501126
Provider Name (Legal Business Name): TIMOTHY METZGER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 PIPER BLVD STE 6
NAPLES FL
34110-1381
US

IV. Provider business mailing address

1201 PIPER BLVD STE 6
NAPLES FL
34110-1381
US

V. Phone/Fax

Practice location:
  • Phone: 239-422-8483
  • Fax:
Mailing address:
  • Phone: 239-422-8483
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberAS5321
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: