Doctor Name: | DR. BODO E PYKO |
NPI Number: | 1538264106 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | OS1683 |
Business Practice Address: | 8609 Forest City Rd Orlando, FL - 328102262 |
Business Phone Number: | 3212784464 |
Business Fax Number: | |
Mailing Address: | 8609 Forest City Rd, ORLANDO |
State: | FL |
Postal Code: | 328102262 |
Phone Number: | 3212784464 |
Fax Number: | |
NPI Enumeration Date: | 09/14/2006 |
NPI Last Update Date: | 05/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | OS1683 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |