Individual
TIMOTHY HERBERT SANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2650 BEACH BLVD STE 40, BILOXI, MS 39531-4517
(228) 273-4611
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(305) 500-2000
(786) 522-9018
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29283
MS
207Q00000X
Family Medicine Physician
Primary
3695
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100070990C
—
OK
01
—
930122845
RAILROAD MEDICARE
OK
Enumeration date
08/18/2006
Last updated
03/26/2026
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