Individual
TIMOTHY JOHN FLORETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 TAMPA GENERAL CIR, TAMPA, FL 33606-3603
(813) 974-2201
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME143506
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME143506
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003606400
—
FL
01
—
14CWS
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/14/2006
Last updated
03/30/2021
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