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NPI Code Detail

MEDICARE: TIMOTHY FRANCIS PA

MEDICARE: TIMOTHY FRANCIS PA
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
1363A00000XPhysician AssistantPA9103564FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00318960OTHERFLRAILROAD MEDICARE

General Provider Information

NPI Number : 1902859739
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY FRANCIS PA
Provider Business Mailing Address
First Line : 3434 HANCOCK BRIDGE PKWY STE 301
Second Line :
City : NORTH FORT MYERS
State : FL
Zip : 33903-7099
Country : US
Telephone Number : 877-856-3774
Fax Number : 239-599-2625
Provider Business Practice Location Address
First Line : 2335 AARON ST
Second Line :
City : PORT CHARLOTTE
State : FL
Zip : 33952-5305
Country : US
Telephone Number : 855-979-5700
Fax Number : 855-979-5701
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2006
Last Update Date : 10/01/2014

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Directions to “ TIMOTHY FRANCIS PA” Practice Location

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