Individual provider · Type 1 NPI

Nicole Ridle, PA-C

Medical Physician Assistant · Ocala, FL

NPI number 1861946113 Active

Practice location

1630 SE 18th St Ste 602
Ocala, FL 34471-5472

Fax (352) 369-0246

Mailing address

PO Box 102222
Atlanta, GA 30368-2222

Other practice locations

  • 4945 SW 49th Pl, Ocala, FL 34474-9673 · (352) 237-9430

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9109824 (FL)

Medical Physician Assistant: Definition to come...

11 other providers at this address

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About NPI 1861946113

Nicole Ridle, PA-C's National Provider Identifier is 1861946113, issued on Aug 3, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Ocala, FL. The record was last updated on Aug 27, 2026.