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Dr. Timothy L Wyatt, MD
Specialist in Jacksonville, Florida
NPI 1811954407

Timothy L Wyatt is a Specialist based in Jacksonville, FL. Timothy L Wyatt practices in Jacksonville, FL and has the professional credentials of MD. The NPI Number for Timothy L Wyatt is 1811954407 and holds a License No. ME0064092 (Florida).

The current practice location address for Timothy L Wyatt is 2360A Park St, Jacksonville, FL and can be reached out via phone at 904-981-9959 and via fax at 904-981-9956.

Location: 2360A Park St, Jacksonville, FL, 32204-4318
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811954407
Provider Name
Timothy L Wyatt
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2360A Park St, Jacksonville, FL, 32204-4318
Phone Number
904-981-9959
Fax Number
904-981-9956
Provider Enumeration Date
04/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
376562800 05 FL
institution
Provider Business Practice Location Address Details
Address
2360A Park St
City
Jacksonville
State
Florida
Zip
32204-4318
Phone Number
904-981-9959
Fax Number
904-981-9956
person
Provider Business Mailing Address Details
Address
2360A Park St
City
Jacksonville
State
Florida
Zip
32204-4318
Phone Number
904-981-9959
Fax Number
904-981-9956
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME0064092 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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