Dr. Timothy Derrick Do
Neurosurgeon
4689 Us Highway 17 Suite 11
Orange Park
, Florida 32003-4831
Dr. Timothy Derrick Do
Neurosurgeon
4689 Us Highway 17 Suite 11
Orange Park
, Florida 32003-4831
(866) 264-0529
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About
Features
Specialties
- Neurosurgeon
Languages spoken
- English
Location
First Address
- Dr. Timothy Derrick Do
- 4689 Us Highway 17 Suite 11
- Orange Park, FL
- Zip : 32003-4831
- Fax : (866) 264-0529
- Phone : (904) 269-7007
Second Address
- Dr. Timothy Derrick Do
- 4689 Us Highway 17 Suite 11
- Orange Park, FL
- Zip : 32003-4831
- Fax : (866) 264-0529
- Phone : (904) 269-7007
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207T00000X | Neurosurgeon | 150583 | DC |
| Y | 207T00000X | Neurosurgeon | ME111835 | FL |
National Provider Identifier
| NPI | 1043464639 |
|---|---|
| Provider Name | Dr. Timothy Derrick Do |
| First Address | Orange Park, FL 32003-4831 |
| Second Address | Orange Park, FL 32003-4831 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/11/2008 |
| Last Update Date | 27/01/2022 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 009327000 | (05) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.