MEDICARE: SANDRA CHRISTINE-BOZIK LYMAN PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	363AM0700X	Medical Physician Assistant	PA9113312	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487285763
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA CHRISTINE-BOZIK LYMAN PA

Provider Business Mailing Address
First Line	:	1349 CAMBRIDGE DR
Second Line	:
City	:	VENICE
State	:	FL
Zip	:	34293-2852
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12479 S ACCESS RD
Second Line	:
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33981-6206
Country	:	US
Telephone Number	:	941-697-3001
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2020
Last Update Date	:	02/18/2021

Similar Medicare Providers

1447446828 — CHIRO-MED HEALTH AND REHAB PL
Practice Location Address:

12479 S ACCESS RD , SUITE 1
PORT CHARLOTTE, FL
33981-6206

Practice Phone: 941-697-3001
Practice Fax: 941-697-3003

1801169172 — PIVOTAL HEALTH PHYSICAL MEDICINE, LLC
Practice Location Address:

12479 S ACCESS RD , SUITE 1
PORT CHARLOTTE, FL
33981-6206

Practice Phone: 941-697-3001
Practice Fax: 941-697-6010

1124369178 — DR. CHASE STEPHEN FIFAREK D.C.
Practice Location Address:

12479 S ACCESS RD STE 1
PORT CHARLOTTE, FL
33981-6206

Practice Phone: 941-697-3001
Practice Fax:

1780224048 — MICHELLE SEWARD D.C
Practice Location Address:

12479 S ACCESS RD
PORT CHARLOTTE, FL
33981-6206

Practice Phone: 941-229-1887
Practice Fax:

1942955497 — MS. MELANIE ROSARIO MURILLO
Practice Location Address:

1148 BELKTON AVE
PORT CHARLOTTE, FL
33948-6206

Practice Phone: 941-204-8406
Practice Fax:

1467075168 — TANIA YVONNE JOHNSON
Practice Location Address:

6206 CHARLOTTE LN
KILLEEN, TX
76542-5464

Practice Phone: 661-974-3086
Practice Fax:

Directions to “ SANDRA CHRISTINE-BOZIK LYMAN PA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.