Moriarty, Timothy G

Moriarty, Timothy G is an sole proprietor health care provider with primary practice located at 221 E 23Rd St Suite B, Panama City FL 32405-7612. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Moriarty, Timothy G can be contacted via phone (850) 872-0502.

Contact Information

Primary practice address
221 E 23Rd St Suite B Panama City FL 32405-7612
Phone: (850) 872-0502
Fax: (850) 872-0677
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME0061983 Florida

Profile Details

NPI number 1578539805
LBN Legal business name Moriarty, Timothy G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2006
Last updated Feb 2nd, 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 1578539805 NPPES
Florida MEDICAID 370919100

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