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General NPI Number Information
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NPI Number | 1427096767
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Entity Type | Individual
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Provider Name | WILLIAM L NYMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 11/28/2018
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Provider Practice Location Address
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Address Line | 5539 MARINE PKWY
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652-4329
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Country | US
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Telephone | 727-841-8225
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Fax | 727-846-8549
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Provider Business Mailing Address
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Address Line | 712 S CASCADE ST
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City | FERGUS FALLS
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State | MN
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Zip | 56537-2913
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Country | US
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Telephone | 218-736-8000
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 0053069
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 62957
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 0053069
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License Number State | FL
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