MEDICARE: TIMOTHY WEBSTER SR.

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	172A00000X	Driver	W123816723630	FL

General Provider Information

NPI Number	:	1770193203
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMOTHY WEBSTER SR.

Provider Business Mailing Address
First Line	:	1465 SHADOW CREEK DR
Second Line	:
City	:	ORANGE PARK
State	:	FL
Zip	:	32065-2514
Country	:	US
Telephone Number	:	904-444-4784
Fax Number	:

Provider Business Practice Location Address
First Line	:	1465 SHADOW CREEK DR
Second Line	:
City	:	ORANGE PARK
State	:	FL
Zip	:	32065-2514
Country	:	US
Telephone Number	:	904-444-4784
Fax Number	:

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

Provider Enumeration Date	:	08/10/2020
Last Update Date	:	08/10/2020

Similar Medicare Providers

1174798433 — ORANGE COUNTY NEWBORN MEDICARE CARE PC
Practice Location Address:

3 SAINT STEPHENS PL , SUITE 2
WARWICK, NY
10990-3208

Practice Phone: 845-987-9700
Practice Fax:

1558220764 — TOYE KOMEK BRADFORD FNP
Practice Location Address:

1441 SHADOW CREEK DR
ORANGE PARK, FL
32065-2514

Practice Phone: 904-621-7053
Practice Fax:

1689079634 — MRS. HELEN S MOORE SPEECH PATHOLOGIST
Practice Location Address:

1483 SHADOW CREEK DR
ORANGE PARK, FL
32065-2514

Practice Phone: 904-644-7110
Practice Fax:

1972540797 — DR. ALPESH JASHVANT AMIN M.D.
Practice Location Address:

355 HENRY ST
ORANGE, NJ
07050-2514

Practice Phone: 973-672-0352
Practice Fax: 973-672-3393

1831312826 — MS. KATHLEEN MARIE BOUDREAU LCSW
Practice Location Address:

698 ORANGE ST
NEW HAVEN, CT
06511-2514

Practice Phone: 203-562-1918
Practice Fax: 203-772-0051

1538388970 — J.S. AMIN M.D. PA
Practice Location Address:

355 HENRY ST
ORANGE, NJ
07050-2514

Practice Phone: 973-672-0352
Practice Fax: 973-672-3393

Directions to “ TIMOTHY WEBSTER SR. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.