Provider Demographics
NPI:1659372803
Name:BELL, TIMOTHY CHARLES (MD)
Entity Type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:CHARLES
Last Name:BELL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8200 S JOG RD STE 203
Mailing Address - Street 2:PALM BEACH PEDIATRICS
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33472-2981
Mailing Address - Country:US
Mailing Address - Phone:561-327-4960
Mailing Address - Fax:561-738-1807
Practice Address - Street 1:5589 OKEECHOBEE BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33417-4486
Practice Address - Country:US
Practice Address - Phone:561-471-1144
Practice Address - Fax:561-471-4278
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2012-09-19
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Provider Licenses
StateLicense IDTaxonomies
FLME 0044397208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL069381200Medicaid
FL04187OtherBS
FL1202181OtherUNITED
D50951Medicare UPIN