Lattimore, Timothy A

Lattimore, Timothy A is an individual health care provider with primary practice located at 1594 Kingsley Ave , Orange Park FL 32073-4546. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Lattimore, Timothy A can be contacted via phone (904) 264-8621.

Contact Information

Primary practice address
1594 Kingsley Ave Orange Park FL 32073-4546
Phone: (904) 264-8621
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11002945 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN11002945 Florida

Profile Details

NPI number 1699326439
LBN Legal business name Lattimore, Timothy A
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2019
Last updated Sep 27th, 2019 - about 7 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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