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1639131584
TIMOTHY MICHAEL PHELAN
JACKSONVILLE, FL
NPI
1639131584
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: FL ME28633)
Enumeration Date
2006-04-05
Last Update Date
2019-02-26
Business Address
TIMOTHY MICHAEL PHELAN M.D.
2525 RIVERSIDE AVE
JACKSONVILLE, FL 32204-4710
Phone number: 904-388-0704
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Mailing Address
TIMOTHY MICHAEL PHELAN M.D.
PO BOX 25317
TAMPA, FL 33622-5317
Phone number: 813-286-0033
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