Laird, Timothy Patrick

Laird, Timothy Patrick is an individual health care provider with primary practice located at 7125 Murrell Rd Ste D , Melbourne FL 32940-7999. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Laird, Timothy Patrick can be contacted via phone (321) 242-8790.

Contact Information

Primary practice address
7125 Murrell Rd Ste D Melbourne FL 32940-7999
Fax: (321) 255-4734
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME84571 Florida

Profile Details

NPI number 1225038912
LBN Legal business name Laird, Timothy Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Mar 17th, 2018 - about 7 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 1225038912 NPPES
Florida Other HS229Z MEDICARE
Florida MEDICAID 264408800 MEDICARE

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