Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY NYCKOWSKI, DO
ActiveTIMOTHY NYCKOWSKI, DO is a Dermatology healthcare provider located in LAKE MARY, Florida. NPI 1003313735 is currently active in the NPPES registry. Verify at CMS.
Dermatology · LAKE MARY, FL
Registration Details
- NPI Number
- 1003313735
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 9, 2018 (8.3901313934387 yrs)
- Last Updated
- May 28, 2024
- License
-
OS16707 (FL)
Practice Information
- Address
-
731 STIRLING CENTER PL UNIT 1931LAKE MARY, FL, 327465209Browse FL providers · Browse ZIP 32746
- Phone
- 4074367375
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Providers in LAKE MARY, FL
| Name | Credential | NPI |
|---|---|---|
| RION J FORCONI | MD | 1891757902 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.