Dr TIMOTHY BLAIN is a male medical professional, specializing in Internal Medicine. He graduated in 1996 from Illinois Medical College.
GULF COAST HMA PHYSICIAN MANAGEMENT LLC
250 W DEARBORN ST
ENGLEWOOD
FL
342233245
Tel: 9414735100
| Npi | 1558451849 |
| Pac Id | 8729129010 |
| Professional Enrollment Id | I20101012000153 |
| Last Name | BLAIN |
| First Name | TIMOTHY |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | ILLINOIS MEDICAL COLLEGE |
| Graduation Year | 1996 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialty 1 | PEDIATRIC MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | PEDIATRIC MEDICINE |
| Organization Legal Name | GULF COAST HMA PHYSICIAN MANAGEMENT LLC |
| Group Practice Pac Id | 7911949466 |
| Number Of Group Practice Members | 81 |
| Line 1 Street Address | 250 W DEARBORN ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | ENGLEWOOD |
| State | FL |
| Zip Code | 342233245 |
| Phone Number | 9414735100 |
| Hospital Affiliation Ccn 1 | 100070 |
| Hospital Affiliation Lbn 1 | VENICE REGIONAL BAYFRONT HEALTH |
| Hospital Affiliation Ccn 2 | 100267 |
| Hospital Affiliation Lbn 2 | ENGLEWOOD COMMUNITY HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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