Individual
DR. RUBEN BERROCAL TIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3406 SANTA ROSA DR, GULF BREEZE, FL 32563-5665
(850) 462-4544
(850) 777-3166
Mailing address
PO BOX 30332, PENSACOLA, FL 32503-1332
(850) 462-4544
(850) 777-3166
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
ME 42993
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043027700
—
FL
Enumeration date
05/23/2005
Last updated
10/21/2019
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