MEDICARE: DR. TIMOTHY A BRANT M.D.

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	2085R0001X	Radiation Oncology Physician	ME43033	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1659329001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIMOTHY A BRANT M.D.

Provider Business Mailing Address
First Line	:	2020 SE 17TH ST
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34471-4118
Country	:	US
Telephone Number	:	352-527-0106
Fax Number	:	352-414-4229

Provider Business Practice Location Address
First Line	:	522 N LECANTO HWY
Second Line	:
City	:	LECANTO
State	:	FL
Zip	:	34461-8547
Country	:	US
Telephone Number	:	352-527-0106
Fax Number	:	352-527-0585

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

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	10/16/2023

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