Dickason, Timothy James

Dickason, Timothy James is an individual health care provider with primary practice located at 1125 Bartow Rd Ste 101, Lakeland FL 33801-5852. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Dickason, Timothy James can be contacted via phone (863) 683-7171.

Contact Information

Primary practice address
1125 Bartow Rd Ste 101 Lakeland FL 33801-5852
Phone: (863) 683-7171
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 101101 Florida
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X M7144 Texas
Allopathic & Osteopathic Physicians / Hematology 207ZH0000X 101101 Florida

Profile Details

NPI number 1346218120
LBN Legal business name Dickason, Timothy James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Nov 11th, 2010 - about 14 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 1346218120 NPPES
Florida MEDICAID 000658200

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