Gotham, Timothy
Gotham, Timothy is an individual health care provider with primary practice located at 23450 Via Coconut Pt , Estero FL 34135-1877. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gotham, Timothy can be contacted via phone (239) 468-0150.Contact Information
Primary practice address
23450 Via Coconut Pt
Estero FL 34135-1877
Phone: (239) 468-0150
Fax: (239) 343-4056
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME154825 | Florida |
Profile Details
| NPI number | 1508139296 |
|---|---|
| LBN Legal business name | Gotham, Timothy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 11th, 2012 |
| Last updated | Apr 22nd, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508139296 | NPPES |
| Florida | MEDICAID | 113871100 |
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