Individual
TIM ALAN BROESEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 MICCOSUKEE ROAD, TMPP - CANCER & HEMATOLOGY, TALLAHASSEE, FL 32308
(850) 431-5360
(850) 431-5367
Mailing address
1300 MICCOSUKEE ROAD, TMPP - CANCER & HEMATOLOGY, TALLAHASSEE, FL 32308
(850) 431-5360
(850) 431-5367
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME0047148
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048530600
—
FL
01
—
05945
BCBS
—
Enumeration date
10/10/2006
Last updated
01/04/2012
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