Individual
TIMOTHY DAVID FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
902 N 7TH ST, CORDELE, GA 31015-3234
(229) 276-3100
Mailing address
1336 CREEKSIDE BLVD STE 1, NAPLES, FL 34108-1931
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9326204
FL
367500000X
Certified Registered Nurse Anesthetist
RN193624
GA
Other
Enumeration date
08/18/2016
Last updated
03/05/2021
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