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Organization
TIMOTHY R TOWARD DO PA
Active
Organization
TIMOTHY R TOWARD DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY R TOWARD DO (OWNER PRESIDENT)
(561) 845-6960
Entity
Organization
Contact information
Practice address
2730 BROADWAY, RIVIERA BEACH, FL 33404-4539
(561) 845-6960
Mailing address
2730 BROADWAY, RIVIERA BEACH, FL 33404-4539
(561) 845-6960
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO03468
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
082998448
RAILROAD MEDICARE
FL
05
—
54883900
—
FL
01
—
743144882
WELLCARE
FL
01
—
81950
BC BS
FL
Enumeration date
01/22/2007
Last updated
06/27/2012
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