MEDICARE: GAILEANNE RANA TIMMINS

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
1	1041C0700X	Clinical Social Worker	SW25838	FL

General Provider Information

NPI Number	:	1245193937
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GAILEANNE RANA TIMMINS

Provider Business Mailing Address
First Line	:	13785 OAK FOREST BLVD S
Second Line	:
City	:	SEMINOLE
State	:	FL
Zip	:	33776-3420
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13785 OAK FOREST BLVD S
Second Line	:
City	:	SEMINOLE
State	:	FL
Zip	:	33776-3420
Country	:	US
Telephone Number	:	828-712-4750
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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Directions to “ GAILEANNE RANA TIMMINS ” Practice Location

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