Provider Demographics
NPI:1245564038
Name:NYE, ERIC JASON (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:JASON
Last Name:NYE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32815 US HIGHWAY 19 N
Mailing Address - Street 2:STE 200
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-3145
Mailing Address - Country:US
Mailing Address - Phone:727-412-8503
Mailing Address - Fax:727-412-8541
Practice Address - Street 1:32815 US HIGHWAY 19 N STE 200
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-3145
Practice Address - Country:US
Practice Address - Phone:727-412-8541
Practice Address - Fax:727-412-8541
Is Sole Proprietor?:No
Enumeration Date:2009-09-25
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9735111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor