Provider Demographics
NPI:1710939616
Name:ZEIEN, TIMOTHY J II (MD)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:J
Last Name:ZEIEN
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1840 MEASE DR STE 404
Mailing Address - Street 2:
Mailing Address - City:SAFETY HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34695-6606
Mailing Address - Country:US
Mailing Address - Phone:727-712-0980
Mailing Address - Fax:813-635-2694
Practice Address - Street 1:1840 MEASE DR
Practice Address - Street 2:SUITE 404
Practice Address - City:SAFETY HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34695-6602
Practice Address - Country:US
Practice Address - Phone:727-712-0980
Practice Address - Fax:813-635-2694
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0091822207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL272721800Medicaid
FLP00303060OtherRAILROAD MEDICARE NUMBER
I33112Medicare UPIN
FL03566ZMedicare PIN