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

Timothy Anderson, PA

Individual provider Physician Assistant · NPI 1063496222

Timothy Anderson, PA is a Physician Assistant in Orlando, Florida. Licensed in Florida and Texas. Registered with an NPI since 2005.

Licensed in
FL, TX
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

954 Lake Baldwin Ln
Orlando, FL 32814-6651
Phone: (407) 478-9797
Fax: (407) 478-9798
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA 908641 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA03747 (TX)

Record details

NPI number1063496222
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 1, 2005
Last updated in NPPESAugust 9, 2016

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