Timothy C Harrell, MD, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0024306 Issued in FL

Legal business name

TIMOTHY C HARRELL, MD, PA

Practice address

5700 N Federal Hwy
Suite 6
Fort Lauderdale, FL 33308-2600

Phone

(954) 776-1190

Fax

(954) 776-1196

NPI assigned

Jul 3, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Timothy C Harrell, MD

Title

President

Phone

(954) 776-1190

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841220134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 N FEDERAL HWY",
            "address_2": "SUITE 6",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333082600",
            "telephone_number": "954-776-1190",
            "fax_number": "954-776-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 N FEDERAL HWY",
            "address_2": "SUITE 6",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333082600",
            "telephone_number": "954-776-1190",
            "fax_number": "954-776-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY C HARRELL, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-776-1190",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0024306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timeless Therapy
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• Gary Louis Timmer, DNP PMHNP-BC
• Paige Timmermann, NP
• Timothy O'Connor, L.C.S.W., P.a.
• Stephanie Tine, DPM
• Alexander S. Ting, DO
• Alesia Tinner, MSW
• Jaime Tinoco, ACUPUNCTURIST

• Internal Medicine Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.