Hastings, Timothy R

Hastings, Timothy R is an individual health care provider with primary practice located at 1557 Roberts Dr Ste 225 Credentialing Department, Jacksonville Beach FL 32250. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Hastings, Timothy R can be contacted via phone (904) 241-1204.

Contact Information

Primary practice address
1557 Roberts Dr Ste 225 Credentialing Department Jacksonville Beach FL 32250
Phone: (904) 241-1204
Fax: (904) 241-7331
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME101641 Florida

Profile Details

NPI number 1568436582
LBN Legal business name Hastings, Timothy R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Mar 25th, 2021 - about 3 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 1568436582 NPPES
Florida MEDICAID 000389500
Florida Other P00680402

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