Individual
TIMOTHY JOHN DICKHUDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 S ANDREWS AVE, FORT LAUDERDALE, FL 33316-2510
(954) 355-4400
(702) 384-6493
Mailing address
2800 E COMMERCIAL BLVD STE 102, FORT LAUDERDALE, FL 33308-4202
(954) 491-0900
(954) 491-1306
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME139850
FL
208600000X
Surgery Physician
17313
NV
208600000X
Surgery Physician
Primary
ME139850
FL
2086S0127X
Trauma Surgery Physician
ME139850
FL
Other
Enumeration date
04/30/2012
Last updated
07/22/2022
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