Individual
DR. TIMOTHY G MORIARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
221 E 23RD ST, SUITE B, PANAMA CITY, FL 32405-7612
(850) 872-0502
(850) 872-0677
Mailing address
PO BOX 9560, PANAMA CITY BCH, FL 32417
(850) 872-0502
(850) 872-0677
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME0061983
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370919100
—
FL
Enumeration date
02/27/2006
Last updated
02/02/2010
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