Timothy L Wyatt in Jacksonville - Specialist
Timothy L Wyatt - NPI 1811954407
Timothy L Wyatt is a Specialist in Jacksonville, Florida. Timothy L Wyatt practices all healthcare services and medical treatments related to Specialist. The NPI Number for Timothy L Wyatt is 1811954407. The last update date is 2010-08-25.
Timothy L Wyatt's current location address is 2360a Park St, Jacksonville, Florida. You can contact this provider via phone number 9049819959 and fax number 9049819956. The mailing address for Timothy L Wyatt is 2360a Park St, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy L Wyatt |
|---|---|
| Address | 2360a Park St, Jacksonville, Florida |
| Phone Number | 9049819959 |
| Fax Number | 9049819956 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1811954407 |
|---|---|
| Provider Enumeration Date | 2006-04-27 |
| Last Updated Date | 2010-08-25 |
Provider Mailing Address Detail
| Address | 2360a Park St |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322044318 |
| Phone Number | 9049819959 |
| Fax Number | 9049819956 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | ME0064092 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 376562800 | FL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Timothy L Wyatt?
The Timothy L Wyatt has been issued the NPI (National Provider Identifier) 1811954407 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Timothy L Wyatt's facilities are geographically located?
The facilities of Timothy L Wyatt are physically situated at the following location: 2360A Park St, Jacksonville, FL, 322044318.
What is Timothy L Wyatt's specialized field of practice, and what is the corresponding taxonomy classification code?
The Timothy L Wyatt's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1811954407 to Timothy L Wyatt?
The Centers for Medicare & Medicaid Services assigned the 1811954407 to Timothy L Wyatt on 2006-04-27.
As of what date were the details related to Timothy L Wyatt most recently updated or revised?
The information pertaining to Timothy L Wyatt, including its address, specialty, and other relevant details, was last updated or revised on 2010-08-25.