# TIMOTHY W VALK MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851540785
- **Authorized official:** ROBERT C COOLIDGE (AGENT)
- **Authorized official phone:** (386) 774-5211

## Contact information

- **Practice address:** 103 FRONT ST, PALM COAST, FL 32137-1460
- **Practice address phone:** (386) 774-5211
- **Mailing address:** PO BOX 741240, ORANGE CITY, FL 32774-1240
- **Mailing address phone:** (386) 774-5211
- **Mailing address fax:** (386) 774-5251

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | ME36924 | FL | Yes |

## Other

- **Enumeration date:** 09/16/2008
- **Last updated:** 09/16/2008