Individual
ASSI TIMAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8029 SW 55TH PL, GAINESVILLE, FL 32608-4444
(352) 538-4499
Mailing address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
Taxonomy
Speciality
Code
Description
License number
State
2279E0002X
Emergency Care Registered Respiratory Therapist
Primary
RT11658
FL
2279G1100X
General Care Registered Respiratory Therapist
RT11658
FL
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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