Timothy Stanley O'brien PEDORTHIST

NPI 1295938322 - Specialist - 174400000X

NPI Details
NPI 1295938322
Gender Male
Enumeration Date 06/06/2007
Last Updated 05/12/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
2641 SE OCEAN BLVD
STUART FL, 34996-3401, US
Phone (772) 283-3833
Fax (772) 283-5632
Business Location
245 S US HIGHWAY 1
TEQUESTA FL, 33469-2701, US
Phone (561) 746-3536
Fax (561) 144-7851
Toxanomy
Taxonomy Code 174400000X
License State Florida
License Number PED73
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According to our database, Mr. Timothy Stanley O'brien PEDORTHIST NPI is 1295938322, taxonomy code is 174400000X and license number is PED73, license state is located at Florida. Timothy Stanley O'brien PEDORTHIST physically located at 2641 Se Ocean Blvd, Stuart FL, 34996-3401. NPI Number Timothy Stanley O'brien PEDORTHIST has the Individual type.

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1295938322 NPI number is provided on an as is basis without warranty of any kind. 1295938322 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy Stanley O'brien PEDORTHIST are for informational purposes only.