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TIMOTHY CHAN DPM
NPI 1104329747
Podiatrist - Foot & Ankle Surgery in Weeki Wachee, FL

Active since March 09, 2018
11375 CORTEZ BLVD, WEEKI WACHEE, FL 34613(352) 596-6632 Get Directions Write a Review

NPPES record last updated: March 9, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Timothy Chan Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY CHAN DPM (NPI 1104329747) is a healthcare organization registered as a foot & ankle surgery in Weeki Wachee, Florida and active in the NPI registry since March 2018. The organization lists Timothy Chan, Owner, as its authorized official.

NPPES Registry Identity

NPI1104329747
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameTIMOTHY CHAN DPM
Location Address11375 CORTEZ BLVDWeeki Wachee, FL 34613-5409
Mailing Address12180 28th St NSt Petersburg, FL 33716-1820 · (727) 572-5449 · Fax (727) 573-2048
Phone(352) 596-6632
Organization SubpartNo
Authorized OfficialTimothy ChanOwner · (863) 273-8190
Enumeration DateMarch 9, 2018
✔ NPI 1104329747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in FL · PO3400
11375 CORTEZ BLVD, Weeki Wachee, FL 34613
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SEAN MICHAEL
Internal Medicine
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Hernando County (352) 592-2755
MELISSA MIDDLEBROOKS MD
Student in an Organized Health Care Education/Training Program
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Hernando County (352) 597-3072
KRISTEN COSTA
Nurse Practitioner (Family)
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Hernando County (352) 596-6632
DR. CASPER HEPLER DO
Anesthesiology
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Hernando County (352) 597-3072
NEAMI TERVIL DO
Student in an Organized Health Care Education/Training Program
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Hernando County (352) 592-2756
HCA HEALTH SERVICES OF FLORIDA, INC.
General Acute Care Hospital
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Hernando County (352) 596-6632
PUSHPA ALLAM-NANDYALA MD
Pathology (Anatomic Pathology & Clinical Pathology)
11375 CORTEZ BLVD, OAK HILL HOSPITAL
BROOKSVILLE, FL 34613
Hernando County (352) 596-6632
DR. ANUJ ANIL BHATIA MD
Internal Medicine
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Hernando County (352) 596-6632

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Chan Dpm's NPI number?

The NPI number for Timothy Chan Dpm is 1104329747. It was assigned to this organization in the NPPES registry on March 9, 2018.

Where is Timothy Chan Dpm located?

Timothy Chan Dpm is located at 11375 Cortez Blvd, Weeki Wachee, FL 34613. The listed phone number is (352) 596-6632.

What is Timothy Chan Dpm's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Timothy Chan Dpm was last updated on March 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.