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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ROBERTO A NICODEMO, PA

Active Sole Proprietor

ROBERTO A NICODEMO, PA is a Physician Assistant healthcare provider located in KISSIMMEE, Florida. NPI 1831112416 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · KISSIMMEE, FL

Registration Details

NPI Number
1831112416
Provider Type
Individual
Gender
Male
NPI Issued
Jul 25, 2006 (20.038709173099 yrs)
Last Updated
Feb 9, 2024
License
PA9101023 (FL)
Sole Proprietor
Yes

Practice Information

Address
1044 PLAZA DR
KISSIMMEE, FL, 347434064
Browse FL providers · Browse ZIP 34743
Phone
4073505659
Fax
4073505662
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in KISSIMMEE, FL

Name Credential NPI
SARAH SIAK PAC MPAS 1285624726
LORENE M DUNCAN P.A. 1063493575
MR. MUNIR AMMARI PA-C 1801859277
JERALD DEAN GOEHRING PA 1346274164
MR. JOSEPH SPIZZIRRI PA-C 1417972456
ROBERT MARK WINSTEAD PA-C 1275545881
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.