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NPI Code Detail

MEDICARE: TIMOTHY W MCDOWELL ANP

MEDICARE: TIMOTHY W MCDOWELL ANP
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
1363LA2200XAdult Health Nurse PractitionerAPRN11001767FL

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 : 1972704765
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY W MCDOWELL ANP
Provider Business Mailing Address
First Line : 1421 E OAKLAND PARK BLVD STE 200
Second Line :
City : OAKLAND PARK
State : FL
Zip : 33334-4434
Country : US
Telephone Number : 954-565-0875
Fax Number : 954-565-0876
Provider Business Practice Location Address
First Line : 1421 E OAKLAND PARK BLVD STE 200
Second Line :
City : OAKLAND PARK
State : FL
Zip : 33334-4434
Country : US
Telephone Number : 954-565-0875
Fax Number : 954-565-0876
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2007
Last Update Date : 09/09/2019

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Directions to “ TIMOTHY W MCDOWELL ANP” Practice Location

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