Individual
TIMOTHY LASSETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
653 W 8TH ST # L18, JACKSONVILLE, FL 32209-6511
(904) 244-3094
Mailing address
653 W 8TH ST # L18, JACKSONVILLE, FL 32209-6511
(904) 244-3094
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS21902
FL
208D00000X
General Practice Physician
OS21902
FL
Other
Enumeration date
03/24/2022
Last updated
05/11/2026
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