Organization
TIMOTHY J FORNESS MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY J FORNESS MD (PRESIDENT)
(305) 285-3427
Entity
Organization
Contact information
Practice address
2655 S BAYSHORE DR APT 514, MIAMI, FL 33133-5416
(305) 285-3427
(305) 285-3427
Mailing address
2655 S BAYSHORE DR APT 514, MIAMI, FL 33133-5416
(305) 285-3427
(305) 285-3427
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
ME71975
FL
Other
Enumeration date
10/09/2006
Last updated
08/21/2007
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