Individual
TIMOTHY DAVID SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
1005 MAR WALT DRIVE, AUDIOLOGY DEPARTMENT, FORT WALTON BEACH, FL 32547-6707
(850) 863-8232
(850) 314-6833
Mailing address
1005 MAR WALT DRIVE, AUDIOLOGY DEPARTMENT, FORT WALTON BEACH, FL 32547-6707
(850) 863-8232
(850) 314-6833
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY1286
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600525000
—
FL
Enumeration date
04/10/2007
Last updated
01/17/2017
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