National Provider Identifier Database

TIM A BROESEKER, MD – NPI #1093803777
Hematology & Oncology

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.


Contact Information

TIM A BROESEKER, MD
1300 MICCOSUKEE ROAD
TMPP - CANCER & HEMATOLOGY
TALLAHASSEE, FL32308
Phone: 850-431-5360
Fax: 850-431-5367
Website:
Specialty Taxonomy Code
* Hematology & Oncology 207RH0003X

* Indicates primary specialty

NPI Profile & details for TIM A BROESEKER

NPI Number 1093803777
Credentials MD
Entity Individual
Enumeration date 10/10/2006
Last updated 01/04/2012 - About 14 years ago
Sole proprietor1 No
Identifiers
  • FL License #: ME0047148
  • FL Medicaid: 048530600
  • Other: 05945 BCBS
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for TIM A BROESEKER, MD

There are currently no reviews for TIM A BROESEKER, MD


NPIdb - Home
v2.201