Timothy Douglass Dc Pa

NPI 1275857385 - Chiropractor - 111N00000X

NPI Details
NPI 1275857385
Enumeration Date 03/18/2010
Last Updated 11/03/2011
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name TIMOTHY D TIMOTHY
Position PRESIDENT
Phone (850) 650-6789
Fax (850) 650-6790
Practice Location
4221 COMMONS DR EAST
STE B-105
DESTON FL, 32541-3483, US
Phone (850) 650-6789
Fax (850) 650-6790
Business Location
4421 COMMONS DR E
# B-105
DESTIN FL, 32541-3484, US
Phone (850) 650-6789
Fax (850) 650-6790
Toxanomy
Taxonomy Code 111N00000X
License State Florida
License Number CH9683
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According to our database, Timothy Douglass Dc Pa NPI is 1275857385, taxonomy code is 111N00000X and license number is CH9683, license state is located at Florida. Timothy Douglass Dc Pa physically located at 4221 Commons Dr East, Deston FL, 32541-3483. NPI Number 1033115704 has the healthcare provider type.

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1275857385 NPI number is provided on an as is basis without warranty of any kind. 1275857385 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy Douglass Dc Pa are for informational purposes only.