Individual
TIMOTHY JOSEPH JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
52 W UNDERWOOD ST MP # 153, ATTN LESLIE FRAZIER, ORLANDO, FL 32806
(321) 842-8475
(407) 849-6470
Mailing address
52 W UNDERWOOD ST MP # 153, ATTN LESLIE FRAZIER, ORLANDO, FL 32806
(321) 842-8475
(407) 849-6470
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME147057
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108716300
—
FL
Enumeration date
08/30/2006
Last updated
06/12/2025
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