Individual
DR. TIMOTHY SETH TUDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1801 SE HILLMOOR DR STE B-105, PORT ST LUCIE, FL 34952-7545
(772) 398-9911
(772) 398-4577
Mailing address
1801 SE HILLMOOR DR STE B-105, PORT ST LUCIE, FL 34952-7545
(772) 398-9911
(772) 398-4577
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
2011017333
MO
207YS0123X
Facial Plastic Surgery Physician
Primary
OS 13941
FL
Other
Enumeration date
07/18/2011
Last updated
12/18/2024
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