Kelly, Timothy F

Kelly, Timothy F is an individual health care provider with primary practice located at 1840 Mease Dr Suite 406, Safety Harbor FL 34695-6602. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Kelly, Timothy F can be contacted via phone (727) 712-8222.

Contact Information

Primary practice address
1840 Mease Dr Suite 406 Safety Harbor FL 34695-6602
Phone: (727) 712-8222
Fax: (727) 712-8229
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME0039333 Florida

Profile Details

NPI number 1184606816
LBN Legal business name Kelly, Timothy F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Feb 18th, 2022 - about 4 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 1184606816 NPPES
Florida MEDICAID 110257000

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