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

Timothy Michaelis, MD

Individual provider Internal Medicine Physician · NPI 1366975658

Timothy Michaelis, MD is a Dermatology in Jacksonville, Florida. Graduated from University of Utah School of Medicine in 2017, 9 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Trained at
University of Utah School of Medicine
Licensed in
FL
In the registry since
2017
Specialties on file
2
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

4500 San Pablo Rd S
Jacksonville, FL 32224
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 1st St Sw, Rochester, MN 55905-0001 — (507) 284-2511

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence ME137397 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence TRN24708 (FL)

Record details

NPI number1366975658
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 4, 2017
Last updated in NPPESOctober 21, 2021
Certification dateOctober 21, 2021

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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