Provider Demographics
NPI:1104019934
Name:OSA NYMAN, MD PA
Entity Type:Organization
Organization Name:OSA NYMAN, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:OSA
Authorized Official - Middle Name:
Authorized Official - Last Name:NYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-799-6881
Mailing Address - Street 1:12300 ALT A1A
Mailing Address - Street 2:SUITE 109
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-2205
Mailing Address - Country:US
Mailing Address - Phone:561-799-6881
Mailing Address - Fax:561-799-6844
Practice Address - Street 1:12300 ALT A1A
Practice Address - Street 2:SUITE 109
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-2205
Practice Address - Country:US
Practice Address - Phone:561-799-6881
Practice Address - Fax:561-799-6844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-24
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty