Individual
DR. TIMOTHY ELLIOTT NOWACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6200 SUNSET DR STE 502, SOUTH MIAMI, FL 33143-4830
(305) 271-9777
(786) 533-9450
Mailing address
PO BOX 198054, ATLANTA, GA 30384-8054
(305) 271-9777
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
008429
GA
208600000X
Surgery Physician
Primary
ME149852
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/28/2016
Last updated
06/23/2021
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