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

Timothy Maynard, PA-C

Individual provider Physician Assistant · NPI 1215326400

Timothy Maynard, PA-C is a Physician Assistant in Tampa, Florida. Qualified in 2014, 12 years ago. Practices with Observation Medical Group LLC, a 55-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
12
Licensed in
FL
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3100 E Fletcher Ave
Tampa, FL 33613-4613
Phone: (813) 615-7600
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 2809 S Fern Creek Ave, Orlando, FL 32806-5540 — (407) 897-2714

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9108404 (FL)

Record details

NPI number1215326400
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 12, 2015
Last updated in NPPESMarch 17, 2018
Mailing address10600 4th St N Apt 1005, St Petersburg, FL 33716-3207

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Observation Medical Group Llc — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tampa