Timothy Jay Pursley in Maitland - Family Medicine
Timothy Jay Pursley - NPI 1376646562
Timothy Jay Pursley is a Family Medicine in Maitland, Florida. Timothy Jay Pursley practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Timothy Jay Pursley is 1376646562. The last update date is 2022-01-19.
Timothy Jay Pursley's current location address is 402 Lake Howell Rd, Maitland, Florida. You can contact this provider via phone number 4076284312 and fax number 4076281845. The mailing address for Timothy Jay Pursley is 402 Lake Howell Rd, Maitland, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Jay Pursley |
|---|---|
| Address | 402 Lake Howell Rd, Maitland, Florida |
| Phone Number | 4076284312 |
| Fax Number | 4076281845 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1376646562 |
|---|---|
| Provider Enumeration Date | 2006-09-06 |
| Last Updated Date | 2022-01-19 |
Provider Mailing Address Detail
| Address | 402 Lake Howell Rd |
|---|---|
| City | Maitland |
| State | Florida (FL) |
| Post Code | 327515907 |
| Phone Number | 4076284312 |
| Fax Number | 4076281845 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | ME69464 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 252196200 | FL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Timothy Jay Pursley by the Centers for Medicare & Medicaid Services (CMS)?
The Timothy Jay Pursley has been assigned the NPI (National Provider Identifier) 1376646562. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Timothy Jay Pursley?
The Timothy Jay Pursley is situated at 402 Lake Howell Rd, in the city of Maitland, state of FL, with the zip code 327515907.
What is Timothy Jay Pursley's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Timothy Jay Pursley's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1376646562 to Timothy Jay Pursley?
The Centers for Medicare & Medicaid Services assigned the 1376646562 to Timothy Jay Pursley on 2006-09-06.
When was the Timothy Jay Pursley's information last updated?
The Timothy Jay Pursley's information was last updated on 2022-01-19.