| Timothy Blain, MD | |
|
779 Medical Dr Ste 2, Englewood, FL 34223-3980 | |
| (941) 698-6363 | |
| (941) 800-5848 |
| Full Name | Timothy Blain |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 779 Medical Dr Ste 2, Englewood, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558451849 | NPI | - | NPPES |
| P00865254 | Other | FL | RAILROAD MEDICARE |
| 003184600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME107462 (Florida) | Secondary |
| 208000000X | Pediatrics | ME107462 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Blain, MD 779 Medical Dr Ste 2, Englewood, FL 34223-3980 Ph: (941) 698-6363 | Timothy Blain, MD 779 Medical Dr Ste 2, Englewood, FL 34223-3980 Ph: (941) 698-6363 |
Alona Wallace, APRN Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 900 Pine St Unit 216-217, Englewood, FL 34223 Phone: 941-474-5093 | |
Dr. Eva Maria Pirro, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 900 Pine St, Englewood, FL 34223 Phone: 941-474-5093 | |
Angela H Schupp, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 900 Pine St Unit 216-217, Englewood, FL 34223 Phone: 941-474-5093 | |
Dr. Ella Marie Guastavino, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3217 S Access Rd, Englewood, FL 34224 Phone: 941-416-2864 Fax: 650-265-4616 |