TIMOTHY CHAN DPM NPI 1104329747

NPI Information

NPI: 1104329747
Provider Name: TIMOTHY CHAN DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
11375 CORTEZ BLVD
WEEKI WACHEE, FL
ZIP 34613
Phone: (352) 596-6632
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TIMOTHY CHAN DPM is a foot and ankle surgery podiatrist in Weeki Wachee, FL. TIMOTHY CHAN DPM NPI is 1104329747. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11375 CORTEZ BLVD
WEEKI WACHEE, FL
ZIP 34613-409
Phone: (352) 596-6632

The provider's authorized official is Timothy Chan .
The authorized official title is Owner and has the following contact phone number (863) 273-8190.

The enumeration date for this NPI number is 3/9/2018 and was last updated on 3/9/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	PO3400	FLORIDA	Yes
2	213ES0103X	Podiatrist	Foot & Ankle Surgery			No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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