Individual
DR. ROBERT B WYKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
180 PATRICIA AVE, DUNEDIN, FL 34698-8103
(727) 733-4193
(813) 635-2628
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 532-1355
(813) 635-2613
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
OS3673
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100584
EVERCARE
FL
01
—
010065622
RAILROAD MEDICARE
FL
01
—
0105064
UNITED HEALTHCARE
FL
05
—
021226000
—
FL
01
—
123317
HUMANA
FL
01
—
1679215
CIGNA
FL
01
—
211531
AVMED
FL
01
—
5352090
AETNA
FL
01
—
593709395
TAX ID
FL
01
—
82091
BCBS
FL
Enumeration date
06/17/2006
Last updated
10/14/2024
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