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Individual

ROBERT CLIFTON TIMMERMAN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
37880
SC
207L00000X
Anesthesiology Physician
ME113040
FL
208600000X
Surgery Physician
TRN12469
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005946200
FL
05
378807
SC
Enumeration date
05/12/2008
Last updated
03/04/2016
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