Anderson, Timothy Joseph

Anderson, Timothy Joseph is an individual health care provider with primary practice located at 1012 Lucerne Ter , Orlando FL 32806-1015. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Anderson, Timothy Joseph can be contacted via phone (407) 423-1039.

Contact Information

Primary practice address
1012 Lucerne Ter Orlando FL 32806-1015
Phone: (407) 423-1039
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APRN11005102 Florida
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN11005102 Florida

Profile Details

NPI number 1831735711
LBN Legal business name Anderson, Timothy Joseph
Credentials DNP, APRN, ACPNC-AG
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 26th, 2019
Last updated Apr 22nd, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831735711 NPPES
Florida MEDICAID 105046900

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