Individual provider · Type 1 NPI
Timothy Seth Tudor, DO
Facial Plastic Surgery Physician · Port St. Lucie, FL
NPI number
1720376247
Active
Practice location
1801 SE Hillmoor Dr Ste B-105
Port St. Lucie, FL 34952-7545
Fax (772) 398-4577
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | 2011017333 (MO) |
| Facial Plastic Surgery Physician Primary | 207YS0123X | OS 13941 (FL) |
Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.
4 other providers at this address
- Jennifer L. Smith, APRNFamily Nurse Practitioner Port St. Lucie, FL NPI 1417514035
- Madison Danielle Ensley, AUDAudiologist Port St. Lucie, FL NPI 1760267132
- Sarah Cross, APRN, FNPFamily Nurse Practitioner Port St. Lucie, FL NPI 1700491354
- William Bernard Bass, ARNPNurse Practitioner Port St. Lucie, FL NPI 1790057859
Other facial plastic surgery physician providers in Port St. Lucie
About NPI 1720376247
Timothy Seth Tudor, DO's National Provider Identifier is 1720376247, issued on Jul 18, 2011. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in Port St. Lucie, FL. The record was last updated on Dec 18, 2024.