Individual
MR. TIMOTHY GRABOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
2721 DEL PRADO BLVD S STE 250, CAPE CORAL, FL 33904-5710
(239) 574-0011
(239) 574-4020
Mailing address
3210 CLEVELAND AVE STE 100, FORT MYERS, FL 33901-7182
(239) 574-0011
(239) 574-4020
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9102919
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0599674
GHI PPO
FL
01
—
0664623
AETNA HMO
FL
01
—
0905525
UHC
FL
01
—
18915
BCBS
FL
05
—
373039500
—
FL
01
—
3911740004
CIGNA HMO
FL
01
—
4374392
AETNA PPO
FL
01
—
583807358
CHAMPUS
FL
01
—
592207264
CIGNA PPO
FL
01
—
592207264E
HUMANA
FL
Enumeration date
01/02/2007
Last updated
04/08/2010
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