Individual
DR. TIMOTHY LOINE HONDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(954) 288-0169
Mailing address
1244 HARBOUR POINT DR, PORT ORANGE, FL 32127-5608
(954) 288-0169
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME31124
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H3451
—
NM
Enumeration date
12/27/2012
Last updated
01/03/2023
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