Provider Demographics
NPI:1992772461
Name:MCQUEENEY, TIMOTHY FRANCIS III (DC)
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:FRANCIS
Last Name:MCQUEENEY
Suffix:III
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4623 FOREST HILL BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33415-7469
Mailing Address - Country:US
Mailing Address - Phone:561-967-8888
Mailing Address - Fax:561-641-8303
Practice Address - Street 1:8200 OKEECHOBEE BLVD
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-2099
Practice Address - Country:US
Practice Address - Phone:561-964-1111
Practice Address - Fax:561-967-3144
Is Sole Proprietor?:No
Enumeration Date:2006-03-03
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8236111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL89038OtherFL BLUE
FLU88814Medicare UPIN
FLE6920AMedicare ID - Type UnspecifiedMEDICARE NUMBER