Individual
TIMOTHY NYCKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
731 STIRLING CENTER PL UNIT 1931, LAKE MARY, FL 32746-5209
(407) 436-7375
Mailing address
7560 RED BUG LAKE RD STE 1014, OVIEDO, FL 32765-6591
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
OS16707
FL
Other
Enumeration date
04/09/2018
Last updated
05/28/2024
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