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NPI Code Detail

MEDICARE: TIMOTHY SCHMIZ

MEDICARE:   TIMOTHY  SCHMIZ
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
1225X00000XOccupational TherapistOT7949FL

General Provider Information

NPI Number : 1104222553
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY SCHMIZ
Provider Business Mailing Address
First Line : 626 N TYNDALL PKWY
Second Line :
City : CALLAWAY
State : FL
Zip : 32404-6132
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 626 N TYNDALL PKWY
Second Line :
City : CALLAWAY
State : FL
Zip : 32404-6132
Country : US
Telephone Number : 850-871-6363
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2014
Last Update Date : 11/12/2014

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Directions to “ TIMOTHY SCHMIZ ” Practice Location

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