NPI 1003313735
Timothy Nyckowski, DO
Practice location
- Address
- 731 Stirling Center Pl Unit 1931, Lake Mary, FL 32746-5209
- Phone
- (407) 436-7375
- Mailing address
- 7560 Red Bug Lake Rd STE 1014, Oviedo, FL 32765-6591
Registered specialties
Dermatology Physician
Primary
Registry record
- NPI
- 1003313735
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 9 Apr 2018
- Record last updated
- 28 May 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.