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Individual

TIMOTHY O'LEARY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
207 W GORE ST, ORLANDO, FL 32806-1008
(321) 841-8555
(321) 841-2425
Mailing address
207 W GORE ST STE 300, ORLANDO, FL 32806-1014
(321) 841-8555
(321) 841-2425

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
ME54982
FL
207VM0101X
Maternal & Fetal Medicine Physician
Primary
ME54982
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036847400
FL
01
ME54982
MEDICAL LICENSE
FL
Enumeration date
01/23/2006
Last updated
06/28/2019
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