Organization
TIMKEN RADIOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK J TIMKEN MD (OWNER)
(407) 622-9306
Entity
Organization
Contact information
Practice address
200 N ORLANDO AVE, WINTER PARK, FL 32789-3666
(407) 622-9306
(407) 622-9308
Mailing address
PO BOX 1814, WINDERMERE, FL 34786-1814
(407) 622-9306
(407) 622-9308
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
FLME67809
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379383400
—
FL
Enumeration date
06/03/2008
Last updated
08/12/2008
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