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NPI Code Detail

MEDICARE: TIMOTHY D LOFTIS ARNP

MEDICARE:   TIMOTHY D LOFTIS  ARNP
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
1363LF0000XFamily Nurse PractitionerAPRN3067072FL

General Provider Information

NPI Number : 1073579702
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY D LOFTIS ARNP
Provider Business Mailing Address
First Line : 2983 MARSH ELDER DR S
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32226-2046
Country : US
Telephone Number : 904-703-9739
Fax Number :
Provider Business Practice Location Address
First Line : 2983 MARSH ELDER DR S
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32226-2046
Country : US
Telephone Number : 904-703-9739
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2006
Last Update Date : 05/26/2023

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Directions to “ TIMOTHY D LOFTIS ARNP” Practice Location

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