Individual
TIMOTHY DUNNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA CCC-A
Contact information
Practice address
5470 BRYSON CT STE 102, NAPLES, FL 34109
(239) 434-7000
(239) 498-4172
Mailing address
2332 PINE RIDGE RD, NAPLES, FL 34109-2003
(239) 434-7000
(239) 643-8503
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY673
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600049500
—
FL
01
—
S1346
BLUE CROSS &BLUE SHIELD
FL
Enumeration date
07/20/2006
Last updated
08/10/2018
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