Cavacini, Timothy J

Cavacini, Timothy J is an individual health care provider with primary practice located at 216 Southpark Cir E , St Augustine FL 32086-5135. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Cavacini, Timothy J can be contacted via phone (904) 824-6108.

Contact Information

Primary practice address
216 Southpark Cir E St Augustine FL 32086-5135
Phone: (904) 824-6108
Fax: (904) 823-9613
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X OS0007112 Florida

Profile Details

NPI number 1730140583
LBN Legal business name Cavacini, Timothy J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Jul 13th, 2010 - about 16 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 1730140583 NPPES
Florida MEDICAID 379819400

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