Individual
TIMOTHY SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1213 W BATES ST, PLANT CITY, FL 33563-6423
(727) 902-4340
Mailing address
1213 W BATES ST, PLANT CITY, FL 33563-6423
(727) 902-4340
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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