Basic Information
| Provider Information | |||||||||
| NPI: | 1912953183 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | AAMLAND | ||||||||
| FirstName: | TIMOTHY | ||||||||
| MiddleName: | NORMAN | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8780 SW 213TH CT | ||||||||
| Address2: | |||||||||
| City: | DUNNELLON | ||||||||
| State: | FL | ||||||||
| PostalCode: | 344315640 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3524653734 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1601 SW ARCHER RD | ||||||||
| Address2: | |||||||||
| City: | GAINESVILLE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 326081135 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3523761611 | ||||||||
| FaxNumber: | 3523792624 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/26/2006 | ||||||||
| LastUpdateDate: | 08/05/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | PA02382 | FL | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
ID Information
| ID | Type | State | Issuer | Description | E1626Z | 01 | FL | BCBS OF FLOIRDA | OTHER | 1912953183 | 01 | FL | VETERANS HEALTH ADMINISTRATION | OTHER |