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Individual
DR. JEFFREY RYAN TIMKO
Active
Individual
DR. JEFFREY RYAN TIMKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4195
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004249200
—
FL
01
—
36033
BCBS
FL
Enumeration date
02/06/2007
Last updated
02/06/2024
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