Individual
DR. TIMOTHY P. BESSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
807 CHILDRENS WAY, JACKSONVILLE, FL 32207-8426
(904) 202-8275
(904) 396-1630
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(904) 288-5890
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME46665
FL
207LP3000X
Pediatric Anesthesiology Physician
Primary
ME46665
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042416100
—
FL
05
—
824535897A
—
GA
Enumeration date
08/20/2006
Last updated
09/03/2011
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