Timothy A Lattimore, NURSE PRACTITIONER
NPI #1699326439 in Orange Park, Florida
Provider Information
- NPI Number
- 1699326439
- Entity Type
- Individual
- Name
- Timothy A Lattimore, NURSE PRACTITIONER
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- NURSE PRACTITIONER
- Enumeration Date
- Sep 23, 2019
- Last Updated
- Sep 27, 2019
Practice Location
- Address
- 1594 KINGSLEY AVE
- City
- Orange Park
- State
- Florida
- ZIP Code
- 32073-4546
- Phone
- (904) 264-8621
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Nurse Practitioner |
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