| Timothy L Wyatt Md Pa | |
|
2360a Park St Jacksonville FL 32204-4318 | |
| (904) 981-9959 | |
| (904) 981-9956 |
| Full Name | Timothy L Wyatt Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2360a Park St, Jacksonville, Florida |
| Authorized Official Name and Position | Timothy Lester Wyatt (PRESIDENT) |
| Authorized Official Contact | 9049819959 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy L Wyatt Md Pa 2360a Park St Jacksonville FL 32204-4318 Ph: (904) 981-9959 | Timothy L Wyatt Md Pa 2360a Park St Jacksonville FL 32204-4318 Ph: (904) 981-9959 |
| NPI Number | 1528374741 |
|---|---|
| Provider Enumeration Date | 08/25/2010 |
| Last Update Date | 08/25/2010 |
| Medicare PECOS PAC ID | 3375668585 |
|---|---|
| Medicare Enrollment ID | O20100910001122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528374741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | ME64092 (Florida) | Primary |
| Provider Name | Timothy Lester Wyatt |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1811954407 PECOS PAC ID: 6901921113 Enrollment ID: I20100910001137 |
Lem Turner Family Medical Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9390 Lem Turner Rd, Jacksonville, FL 32208 Phone: 904-766-2953 Fax: 904-766-2993 | |
C. Surgery Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 532 Riverside Ave, Jacksonville, FL 32202 Phone: 904-791-6632 | |
Centerwell Senior Primary Care Fl Jv Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4250 Philips Hwy, Jacksonville, FL 32207 Phone: 407-447-7120 | |
Id Associates Of Jacksonville Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Shircliff Way, Ste 610, Jacksonville, FL 32204 Phone: 904-387-5027 Fax: 904-387-2208 | |
Hong Tek Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4123 University Blvd S, Jacksonville, FL 32216 Phone: 904-388-3351 | |
Baptist Primary Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 532 Riverside Ave Ste 103, Jacksonville, FL 32202 Phone: 904-353-5696 Fax: 904-390-7483 | |
Reginald L. Sykes, Sr, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3160 Edgewood Ave W, Jacksonville, FL 32209 Phone: 904-768-8222 Fax: 904-482-0373 |