Individual
DR. JOHN RANDALL TIMKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
844 N STONE ST, 202, DELAND, FL 32720-3208
(386) 734-2592
(386) 734-1773
Mailing address
844 N STONE ST, 202, DELAND, FL 32720-3208
(386) 734-2592
(386) 734-1773
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
CH0004523
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055613100
—
FL
Enumeration date
02/23/2007
Last updated
10/01/2013
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