Van Dyke, Travis Boyd
Van Dyke, Travis Boyd is an individual health care provider with primary practice located at 25 W Crystal Lake St Ste 200, Orlando FL 32806-4475. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Van Dyke, Travis Boyd can be contacted via phone (407) 254-2500.Contact Information
Primary practice address
25 W Crystal Lake St Ste 200
Orlando FL 32806-4475
Phone: (407) 254-2500
Fax: (407) 254-2557
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ME92680 | Florida |
Profile Details
| NPI number | 1467413070 |
|---|---|
| LBN Legal business name | Van Dyke, Travis Boyd |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Jun 23rd, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467413070 | NPPES |
| Florida | Other | 8671773 | CIGNA |
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