Individual
TIMOTHY JOSEEPH FORNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3802 DOGWOOD AVE, PALM BEACH GARDENS, FL 33410-4755
(561) 386-9211
(561) 622-7694
Mailing address
3802 DOGWOOD AVE, PALM BEACH GARDENS, FL 33410-4755
(561) 386-9211
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
ME71975
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253487800
—
FL
Enumeration date
10/14/2015
Last updated
10/14/2015
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