Individual
TIMOTHY MARTIN MCRAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
706 S MOODY AVE, TAMPA, FL 33609-4708
(813) 258-8559
(813) 258-8756
Mailing address
706 S MOODY AVE, TAMPA, FL 33609-4708
(813) 258-8559
(813) 258-8756
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
Primary
ME 051599
FL
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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