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 |
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Address | 1501 Pasadena Ave S, South Pasadena, Florida |
Phone Number | 7273417777 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1104986355 |
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Provider Enumeration Date | 2006-12-11 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1501 Pasadena Ave S |
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City | South Pasadena |
State | Florida (FL) |
Post Code | 337073717 |
Phone Number | 7273417777 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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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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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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