Individual
DR. TIMOTHY SHANE HESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
653 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-3903
(904) 244-3870
Mailing address
PO BOX 44008, JACKSONVILLE, FL 32231-4008
(904) 244-3312
(904) 244-3425
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
OS14760
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2011
Last updated
06/26/2017
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