De Santis, Timothy Quinn

De Santis, Timothy Quinn is an individual health care provider with primary practice located at 3501 Johnson St Fl 2 , Hollywood FL 33021-5421. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. De Santis, Timothy Quinn can be contacted via phone (954) 265-3441.

Contact Information

Primary practice address
3501 Johnson St Fl 2 Hollywood FL 33021-5421
Phone: (954) 265-3441
Fax: (954) 368-0195
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME73376 Florida

Profile Details

NPI number 1386624443
LBN Legal business name De Santis, Timothy Quinn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Jul 21st, 2021 - about 4 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 1386624443 NPPES
Florida MEDICAID 252494500

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