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

Timothy Michael Phelan, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1639131584

Timothy Michael Phelan, MD is an Obstetrics & Gynecology Physician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
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

2525 Riverside Ave
Jacksonville, FL 32204-4710
Phone: (904) 388-0704
Fax: (904) 387-9095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence ME28633 (FL)

Record details

NPI number1639131584
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2006
Last updated in NPPESFebruary 26, 2019
Mailing addressPo Box 25317, Tampa, FL 33622-5317

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