Timmons, Colleen

Timmons, Colleen is an individual health care provider with primary practice located at 4951 Grande Dr , Pensacola FL 32504-8965. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Timmons, Colleen can be contacted via phone (850) 473-0100.

Contact Information

Primary practice address
4951 Grande Dr Pensacola FL 32504-8965
Phone: (850) 473-0100
Fax: (850) 473-0500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OS16946 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X OS16946 Florida

Profile Details

NPI number 1922539444
LBN Legal business name Timmons, Colleen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2017
Last updated Mar 31st, 2022 - 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 1922539444 NPPES
Florida MEDICAID 107121700

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