Organization
DEARDOURFF TIMMONS & ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER M CASSISI MD (SECRETARY)
(352) 331-2332
Entity
Organization
Contact information
Practice address
6420 NW 9TH BLVD, GAINESVILLE, FL 32605-4203
(352) 331-2332
(352) 331-6515
Mailing address
6420 NW 9TH BLVD, GAINESVILLE, FL 32605-4203
(352) 331-2332
(352) 331-6515
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME79809
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01228
BCBS PROVIDER NUMBER
FL
05
—
260934700
—
FL
01
—
51898
BCBS PROVIDER NUMBER
FL
01
—
53219
BCBS PROVIDER NUMBER
FL
01
—
71048
BCBS PROVIDER NUMBER
FL
Enumeration date
07/09/2006
Last updated
05/21/2025
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