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NPI Code Detail

MEDICARE: TIMOTHY EVANS MD

MEDICARE: TIMOTHY EVANS 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
1207X00000XOrthopaedic Surgery PhysicianME149533FL

General Provider Information

NPI Number : 1942696653
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY EVANS MD
Provider Business Mailing Address
First Line : 2000 E EDGEWOOD DR STE 112
Second Line :
City : LAKELAND
State : FL
Zip : 33803-3639
Country : US
Telephone Number : 863-666-3436
Fax Number : 863-667-3550
Provider Business Practice Location Address
First Line : 2000 E EDGEWOOD DR STE 112
Second Line :
City : LAKELAND
State : FL
Zip : 33803-3639
Country : US
Telephone Number : 863-666-3436
Fax Number : 863-667-3550
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2015
Last Update Date : 09/04/2025

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Directions to “ TIMOTHY EVANS MD” Practice Location

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