person
Timothy A Wallner, PA
Medical Physician Assistant in Zephyrhills, Florida
NPI 1679661854

Timothy A Wallner is a Medical Physician Assistant based in Zephyrhills, FL and is specialized in Medical. Timothy A Wallner practices in Zephyrhills, FL and has the professional credentials of PA. The NPI Number for Timothy A Wallner is 1679661854 and holds a License No. C0003396 (Florida).

The current practice location address for Timothy A Wallner is 38035 Medical Center Ave, Zephyrhills, FL and can be reached out via phone at 813-788-1400 and via fax at 813-788-7691.

Location: 38035 Medical Center Ave, Zephyrhills, FL, 33539-2709
person
Provider Profile Details
NPI Number
1679661854
Provider Name
Timothy A Wallner
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
38035 Medical Center Ave, Zephyrhills, FL, 33539-2709
Phone Number
813-788-1400
Fax Number
813-788-7691
Provider Enumeration Date
10/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA9104784 01 FL FL LICENSE
institution
Provider Business Practice Location Address Details
Address
38035 Medical Center Ave
City
State
Zip
33540-1384
Phone Number
813-788-1400
Fax Number
813-788-7691
person
Provider Business Mailing Address Details
Address
38035 Medical Center Ave
City
State
Zip
33540-1384
Phone Number
813-788-1400
Fax Number
813-788-7691
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
C0003396 (Maryland)
Definition
Definition to come...
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