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

Timothy Chan, DO

Individual provider Family Medicine Physician · NPI 1487175535

Timothy Chan, DO is a Family Practice in Orlando, Florida. Graduated from Nova Southeastern College of Osteo Medicine in 2017, 9 years ago. Practices with Dedicated Senior Medical Center of Florida, LLC, a 56-clinician group and accepts Medicare assignment. Licensed in Florida and Pennsylvania.

Years since qualifying
9
Trained at
Nova Southeastern College of Osteo Medicine
Licensed in
FL, PA
In the registry since
2017
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

904 Lee Rd Ste 200
Orlando, FL 32810-5561
Phone: (407) 723-7373
Fax: (407) 723-4842
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS17098 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence OT018026 (PA)

Record details

NPI number1487175535
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 29, 2017
Last updated in NPPESMarch 17, 2025
Certification dateMarch 17, 2025
Mailing address904 Lee Rd Ste 200, Orlando, FL 32810-5561

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolNOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated 2017 (9 years in practice)
Group practice Dedicated Senior Medical Center Of Florida, Llc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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