Provider Demographics
NPI:1245466093
Name:MALONEY, TIMI DONN (MD)
Entity type:Individual
Prefix:
First Name:TIMI
Middle Name:DONN
Last Name:MALONEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 12868
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33733-2868
Mailing Address - Country:US
Mailing Address - Phone:727-824-8357
Mailing Address - Fax:727-824-3132
Practice Address - Street 1:620 10TH STREET N.
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33705-1407
Practice Address - Country:US
Practice Address - Phone:727-824-7161
Practice Address - Fax:727-824-3171
Is Sole Proprietor?:No
Enumeration Date:2009-06-08
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC171201207Q00000X
GA90107207Q00000X
IL036159455207Q00000X
MI4301505230207Q00000X
NJ25MA11229100207Q00000X
OH35.143296207Q00000X
TXT3331207Q00000X
VA0101272818207Q00000X
FLME108368207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL005846900Medicaid
FLGG456ZMedicare PIN