Individual
DR. TIMOTHY ORPHANIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1223 GATEWAY DR STE 2B, MELBOURNE, FL 32901-2607
(321) 549-0736
(321) 952-2330
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 361-5617
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME151443
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111445000
—
FL
01
—
N7309
FL HF MEDICARE
FL
Enumeration date
07/18/2005
Last updated
12/26/2023
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