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

Dr. Timothy Derrick DO, MD

Individual provider Neurological Surgery Physician · NPI 1043464639

Dr. Timothy Derrick DO, MD is a Neurological Surgery Physician in Orange Park, Florida. Licensed in District of Columbia and Florida. Registered with an NPI since 2008.

Licensed in
DC, FL
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4689 US Highway 17 Ste 11
Orange Park, FL 32003-4831
Phone: (904) 269-7007
Fax: (866) 264-0529
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence ME111835 (FL)
Neurological Surgery Physician Taxonomy 207T00000X · Licence 150583 (DC)

Record details

NPI number1043464639
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 9, 2008
Last updated in NPPESJanuary 27, 2022
Mailing address4689 Us Highway 17, Suite 11, Orange Park, FL 32003-4831

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