Timothy Shine MD
Anesthesiology Physician in Jacksonville, FL(View on Map)
Full Name
Timothy Shine MD
NPI Number
1134116429
NPI Type
Individual Provider
Gender
Male
Enumeration Date
10/01/2005
Specialties
(Taxonomies)Licenses
State
Florida
License Number
ME49155
Contact
Information
Purpose
Mailing
Location
Address
4500 SAN PABLO RD S
4500 SAN PABLO RD S
City
Jacksonville
Jacksonville
State
FL
FL
Postal Code
32224-1865
32224-1865
Country
US
US
Telephone Number
N/A
(904) 953-2000
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 12/13/2017