Individual provider · Type 1 NPI

Timothea Whitehurst

Prosthetic/Orthotic Supplier · Jacksonville, FL

NPI number 1386555647 Active

Practice location

4270 Highwood Dr
Jacksonville, FL 32216-3615

Call (904) 514-3562 Map

Mailing address

7643 Gate Pkwy # 104-333
Jacksonville, FL 32256-3092

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000XNone listed

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

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About NPI 1386555647

Timothea Whitehurst's National Provider Identifier is 1386555647, issued on Sep 15, 2026. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 15, 2026.