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1215326400
TIMOTHY MAYNARD
TAMPA, FL
NPI
1215326400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL 9108404)
Enumeration Date
2015-01-12
Last Update Date
2018-03-17
Business Address
TIMOTHY MAYNARD PA-C
3100 E FLETCHER AVE
TAMPA, FL 33613-4613
Phone number: 813-615-7600
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Mailing Address
TIMOTHY MAYNARD PA-C
10600 4TH ST N APT 1005
ST PETERSBURG, FL 33716-3207
Phone number: 727-512-0791
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