Individual
DR. TIMOTHY REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1132
(863) 687-1439
Mailing address
4808 LAKE JULIANA RESERVE DR, AUBURNDALE, FL 33823
(401) 619-1035
(727) 507-3618
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME94162
FL
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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