Organization
BRUCE I TIMINS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM FRAZIER CPC (AR SPECIALIST)
(727) 848-3761
Entity
Organization
Contact information
Practice address
1154 LEE BLVD, UNIT 2, LEHIGH ACRES, FL 33936-4852
(239) 303-2640
Mailing address
PO BOX 1976, LEHIGH ACRES, FL 33970-1976
(239) 303-2640
(239) 303-2981
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME 36915
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066515100
—
FL
Enumeration date
02/18/2008
Last updated
03/15/2010
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