Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207W00000X | Ophthalmologist | 13099 | NV |
N | 207W00000X | Ophthalmologist | MD00046436 | WA |
Y | 207WX0107X | Retina Specialist | ME149069 | FL |
NPI | 1023066578 |
---|---|
Provider Name | Timothy H Tweito |
First Address | Merritt Island, FL 32953-3491 |
Second Address | Merritt Island, FL 32953-3491 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2006 |
Last Update Date | 07/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I11304 | (02) |