Individual provider · Type 1 NPI

Roberto A. Nicodemo, PA

Physician Assistant · Kissimmee, FL

NPI number 1831112416 Active

Practice location

1044 Plaza Dr
Kissimmee, FL 34743-4064

Call (407) 350-5659 Map

Fax (407) 350-5662

Mailing address

6675 Westwood Blvd Ste 475
Orlando, FL 32821-6027

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9101023 (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 1831112416

Roberto A. Nicodemo, PA's National Provider Identifier is 1831112416, issued on Jul 25, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Kissimmee, FL. The record was last updated on Oct 25, 2026.