Provider Demographics
NPI:1356687107
Name:THIMOTEE, WALDOPH SR (RRT)
Entity Type:Individual
Prefix:MR
First Name:WALDOPH
Middle Name:
Last Name:THIMOTEE
Suffix:SR
Gender:M
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 SW 84TH TER
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-5133
Mailing Address - Country:US
Mailing Address - Phone:786-597-3350
Mailing Address - Fax:
Practice Address - Street 1:2300 SW 84TH TER
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-5133
Practice Address - Country:US
Practice Address - Phone:786-597-3350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-26
Last Update Date:2012-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRRT115832279G1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGeneral Care