Individual
DR. ANDREW B NYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5409 DEEP LAKE RD, OVIEDO, FL 32765-5240
(407) 366-9800
(407) 366-9283
Mailing address
5409 DEEP LAKE RD, OVIEDO, FL 32765-5240
(407) 366-9800
(407) 366-9283
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
UO 1596
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002192400
—
FL
05
—
06934042
—
MS
01
—
P00820863
RR MEDICARE
FL
Enumeration date
09/21/2007
Last updated
05/21/2020
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