Individual
CHARLES ROGER TIMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6090 26TH ST W, BRADENTON, FL 34207-4401
(941) 218-2353
(941) 666-5585
Mailing address
PO BOX 110272, LAKEWOOD RCH, FL 34211-0004
(631) 560-4114
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
165264
NY
207Q00000X
Family Medicine Physician
ME151589
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00982687
—
NY
Enumeration date
05/13/2006
Last updated
04/17/2025
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