Individual
DR. MARK J. TIMKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3131 NW 13TH STREET, SUITE 41, GAINESVILLE, FL 32609-2163
(352) 226-8206
(352) 240-6759
Mailing address
3131 NW 13TH STREET, SUITE 41, GAINESVILLE, FL 32609-2163
(352) 226-8206
(352) 240-6759
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME0067809
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27852
BCBS
FL
05
—
379383400
—
FL
Enumeration date
11/07/2005
Last updated
06/04/2014
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