Bolek, Timothy William

Bolek, Timothy William is an individual health care provider with primary practice located at 2003 Centre Pointe Blvd , Tallahassee FL 32308-4893. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Bolek, Timothy William can be contacted via phone (850) 878-2273.

Contact Information

Primary practice address
2003 Centre Pointe Blvd Tallahassee FL 32308-4893
Fax: (850) 671-5900
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X ME0066021 Florida

Profile Details

NPI number 1568460285
LBN Legal business name Bolek, Timothy William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Nov 16th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568460285 NPPES
Florida MEDICAID 255778900

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