Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Timothy Nyckowski, DO

Individual provider Dermatology Physician · NPI 1003313735

Timothy Nyckowski, DO is a Dermatology in Lake Mary, Florida. Graduated from Des Moines University of Osteopathic Medicine and Health Sciences in 2019, 7 years ago. Practices with Dermatology and Skin Cancer Surgery Center, LLC, a 10-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Trained at
Des Moines University of Osteopathic Medicine and Health Sciences
Licensed in
FL
In the registry since
2018
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

731 Stirling Center Pl Unit 1931
Lake Mary, FL 32746-5209
Phone: (407) 436-7375
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 4970 S Us Highway 17/92, Casselberry, FL 32707-3888 — (407) 635-8012
  • 422 S Alafaya Trl Ste 26, Orlando, FL 32828-8984 — (407) 538-3855
  • 7560 Red Bug Lake Rd Ste 1014, Oviedo, FL 32765-6591 — (407) 706-1770

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence OS16707 (FL)

Record details

NPI number1003313735
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 9, 2018
Last updated in NPPESMay 28, 2024
Certification dateMay 28, 2024
Mailing address7560 Red Bug Lake Rd Ste 1014, Oviedo, FL 32765-6591

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolDES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated 2019 (7 years in practice)
Group practice Dermatology And Skin Cancer Surgery Center, Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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