Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Timothy L Wyatt MD PA

Organization Endocrinology, Diabetes & Metabolism Physician · NPI 1528374741

Timothy L Wyatt MD PA is an Endocrinology, Diabetes & Metabolism Physician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2360A Park St
Jacksonville, FL 32204-4318
Phone: (904) 981-9959
Fax: (904) 981-9956
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X · Licence ME64092 (FL)

Record details

NPI number1528374741
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Wyatt — President · (904) 981-9959
NPI enumeratedAugust 25, 2010
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025
Mailing address2360a Park St, Jacksonville, FL 32204-4318

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