Nicolas Lyde in South Pasadena - Physician Assistant

Nicolas Lyde - NPI 1104986355

Nicolas Lyde is a Physician Assistant in South Pasadena, Florida. Nicolas Lyde practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Nicolas Lyde is 1104986355. The last update date is 2007-07-08.

Nicolas Lyde's current location address is 1501 Pasadena Ave S, South Pasadena, Florida. You can contact this provider via phone number 7273417777. The mailing address for Nicolas Lyde is 1501 Pasadena Ave S, South Pasadena, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Nicolas Lyde
Address 1501 Pasadena Ave S, South Pasadena, Florida
Phone Number 7273417777
Fax Number
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1104986355
Provider Enumeration Date 2006-12-11
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1501 Pasadena Ave S
City South Pasadena
State Florida (FL)
Post Code 337073717
Phone Number 7273417777
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA3024
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Nicolas Lyde

What is the unique identification code assigned to Nicolas Lyde by the Centers for Medicare & Medicaid Services?

The Nicolas Lyde has been issued the NPI (National Provider Identifier) 1104986355. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Nicolas Lyde is located?

The Nicolas Lyde is situated at the following address: 1501 Pasadena Ave S, South Pasadena, FL, 337073717.

What is the Nicolas Lyde's specialty and taxonomy code?

The Nicolas Lyde's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.

When was the Nicolas Lyde's 1104986355 issued?

The Nicolas Lyde's 1104986355 was issued on 2006-12-11.

When was the information related to Nicolas Lyde most recently updated or refreshed?

The details pertaining to the Nicolas Lyde, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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