Individual
DR. PHILLIP A NYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1485 37TH ST STE 111, VERO BEACH, FL 32960-6518
(772) 226-6855
(772) 226-6854
Mailing address
1485 37TH ST STE 111, VERO BEACH, FL 32960-6518
(772) 226-6855
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME95624
FL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
ME95624
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649353582
ADVANCED EYE SURGERY CENTER
—
01
—
F1422
ADVANCED EYE SURGERY CENTER
—
01
—
ME95624
SLEEP MEDICINE
FL
Enumeration date
08/12/2006
Last updated
01/30/2023
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