Mingee, Timothy S

Mingee, Timothy S is an individual health care provider with primary practice located at 26800 S Tamiami Trl Ste 340 , Bonita Springs FL 34134-4355. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mingee, Timothy S can be contacted via phone (239) 495-4490.

Contact Information

Primary practice address
26800 S Tamiami Trl Ste 340 Bonita Springs FL 34134-4355
Phone: (239) 495-4490
Fax: (239) 495-4491
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9108283 Florida

Profile Details

NPI number 1952709065
LBN Legal business name Mingee, Timothy S
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2014
Last updated Mar 30th, 2021 - about 5 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 1952709065 NPPES
Florida MEDICAID 023134500

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