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NPI Code Detail

MEDICARE: TIMOTHY JOSEEPH FORNESS MD

MEDICARE: TIMOTHY JOSEEPH FORNESS MD
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
1207XS0114XAdult Reconstructive Orthopaedic Surgery PhysicianME71975FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437520509
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY JOSEEPH FORNESS MD
Provider Business Mailing Address
First Line : 3802 DOGWOOD AVE
Second Line :
City : PALM BEACH GARDENS
State : FL
Zip : 33410-4755
Country : US
Telephone Number : 561-386-9211
Fax Number :
Provider Business Practice Location Address
First Line : 3802 DOGWOOD AVE
Second Line :
City : PALM BEACH GARDENS
State : FL
Zip : 33410-4755
Country : US
Telephone Number : 561-386-9211
Fax Number : 561-622-7694
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2015
Last Update Date : 10/14/2015

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Directions to “ TIMOTHY JOSEEPH FORNESS MD” Practice Location

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