Individual
TIMOTHY LAMON STERNBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., D.M.D.
Contact information
Practice address
2700 RIVERSIDE AVE STE 2, JACKSONVILLE, FL 32205-8233
(904) 264-8801
(904) 621-0566
Mailing address
705 WELLS RD STE 300, ORANGE PARK, FL 32073-2982
(904) 282-6331
(904) 619-1080
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME69375
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME69375
FL
208VP0014X
Interventional Pain Medicine Physician
Primary
ME69375
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2649501-00
—
FL
05
—
614436071A
—
GA
01
—
P00071130
RAILROAD MEDICARE
FL
Enumeration date
03/29/2006
Last updated
09/15/2022
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