Individual
DR. BODO E PYKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8609 FOREST CITY RD, ORLANDO, FL 32810-2262
(321) 278-4464
Mailing address
8609 FOREST CITY RD, ORLANDO, FL 32810-2262
(321) 278-4464
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
OS 1683
FL
208D00000X
General Practice Physician
OS1683
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0788829
—
OR
01
—
81586
BLUECROSS BLUE SHIELD
FL
Enumeration date
09/14/2006
Last updated
05/04/2015
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