Tim Alan Broeseker in Tallahassee - Hematology & Oncology
Tim Alan Broeseker - NPI 1093803777
Tim Alan Broeseker is a Hematology & Oncology in Tallahassee, Florida. Tim Alan Broeseker practices all healthcare services and medical treatments related to Hematology & Oncology. The NPI Number for Tim Alan Broeseker is 1093803777. The last update date is 2012-01-04.
Tim Alan Broeseker's current location address is 1300 Miccosukee Road, Tallahassee, Florida. You can contact this provider via phone number 8504315360 and fax number 8504315367. The mailing address for Tim Alan Broeseker is 1300 Miccosukee Road, Tallahassee, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Tim Alan Broeseker |
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Address | 1300 Miccosukee Road, Tallahassee, Florida |
Phone Number | 8504315360 |
Fax Number | 8504315367 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1093803777 |
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Provider Enumeration Date | 2006-10-10 |
Last Updated Date | 2012-01-04 |
Provider Mailing Address Detail
Address | 1300 Miccosukee Road |
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City | Tallahassee |
State | Florida (FL) |
Post Code | 32308 |
Phone Number | 8504315360 |
Fax Number | 8504315367 |
Provider's Primary Taxonomy Detail
Speciality | Hematology & Oncology |
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Taxonomy | 207Rh0003X |
Licence No | ME0047148 |
Definition: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to ob |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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5945 | BCBS | ||
48530600 | FL | -- |
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What is the unique provider identifier assigned to Tim Alan Broeseker?
The Tim Alan Broeseker has been issued the NPI (National Provider Identifier) 1093803777 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Tim Alan Broeseker located?
The Tim Alan Broeseker is located at 1300 Miccosukee Road, Tallahassee, FL 32308.
What is Tim Alan Broeseker's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Tim Alan Broeseker is Hematology & Oncology, and the taxonomy code that classifies this field of practice is 207Rh0003X.
On what date did the Tim Alan Broeseker receive its 1093803777 assignment from the Centers for Medicare & Medicaid Services?
The Tim Alan Broeseker was assigned its 1093803777 by the Centers for Medicare & Medicaid Services on 2006-10-10.
As of what date were the Tim Alan Broeseker's details last updated?
The information pertaining to the Tim Alan Broeseker, including its address, specialty, and other details, was most recently updated on 2012-01-04.