| Doctor Name: | ANDREW CHYZUS |
| NPI Number: | 1003136474 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | R190498 |
| Business Practice Address: | 3000 N Atlantic Ave Suite 108 Cocoa Beach, FL - 329315078 |
| Business Phone Number: | 3217992554 |
| Business Fax Number: | 3217994750 |
| Mailing Address: | 3000 N Atlantic Ave, Suite 108 COCOA BEACH |
| State: | FL |
| Postal Code: | 329315078 |
| Phone Number: | 3217992554 |
| Fax Number: | 3217994750 |
| NPI Enumeration Date: | 06/08/2010 |
| NPI Last Update Date: | 05/21/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R190498 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |