Timothy Herbert Modzelewski
Timothy Herbert Modzelewski is a Student in an Organized Health Care Education/Training Program in Ocala, Florida. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1431 SW 1st AveOcala, FL 34471-6500
Phone: (352) 401-8243
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1134878515 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 22, 2022 |
| Last updated in NPPES | March 22, 2022 |
| Certification date | March 22, 2022 |
| Mailing address | 270 Franca St, Punta Gorda, FL 33983-5442 |
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