Wierzbicki, Timothy J

Wierzbicki, Timothy J is an individual health care provider with primary practice located at 1211 Dunlawton Ave , Port Orange FL 32127-2913. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Wierzbicki, Timothy J can be contacted via phone (386) 304-0111.

Contact Information

Primary practice address
1211 Dunlawton Ave Port Orange FL 32127-2913
Phone: (386) 304-0111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME80334 Florida

Profile Details

NPI number 1134145741
LBN Legal business name Wierzbicki, Timothy J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2006
Last updated Mar 15th, 2013 - about 11 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 1134145741 NPPES
Florida MEDICAID 259058100
Florida Other 130022355

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