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

Timothy O'Daniel

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1528996956

Timothy O'Daniel is a Student in an Organized Health Care Education/Training Program in Jacksonville, Florida. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1528996956
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 13, 2026
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026
Mailing address4500 San Pablo Rd S, Jacksonville, FL 32224-1865

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