Individual provider · Type 1 NPI

Nicolas Lyde, PA

Physician Assistant · South Pasadena, FL

NPI number 1104986355 Active

Practice location

1501 Pasadena Ave S
South Pasadena, FL 33707-3717

Mailing address

861 SW 78th Ave, Suite # 100B
Plantation, FL 33324-3273

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA3024 (FL)

Physician Assistant: 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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1104986355

Nicolas Lyde, PA's National Provider Identifier is 1104986355, issued on Dec 11, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in South Pasadena, FL. The record was last updated on Jul 8, 2007.