| Roberto A Nicodemo, PA | |
|
1044 Plaza Dr, Kissimmee, FL 34743-4064 | |
| (407) 350-5659 | |
| (407) 350-5662 |
| Full Name | Roberto A Nicodemo |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 34 Years |
| Location | 1044 Plaza Dr, Kissimmee, Florida |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831112416 | NPI | - | NPPES |
| PA9101023 | Other | FL | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9101023 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Heisu Research Group Llc | 5890147490 | 3 |
| Medical Home Alliance, Llc | 6406096536 | 75 |
| Mailing Address | Practice Location Address |
|---|---|
| Roberto A Nicodemo, PA 6675 Westwood Blvd Ste 475, Orlando, FL 32821-6027 Ph: (407) 845-0330 | Roberto A Nicodemo, PA 1044 Plaza Dr, Kissimmee, FL 34743-4064 Ph: (407) 350-5659 |
Mrs. Holly N Jones, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1157 Miranda Ln, Kissimmee, FL 34741 Phone: 407-483-4950 Fax: 407-442-3490 | |
Mr. Ernest Rinaldi, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 410 Celebration Pl Ste 106, Kissimmee, FL 34747 Phone: 407-764-4270 | |
Richard Z Ordon, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 604 Oak Commons Blvd, Kissimmee, FL 34741 Phone: 407-846-6004 Fax: 407-846-1422 | |
Bria Leigh Bennie, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 102 Park Place Blvd Ste 3, Kissimmee, FL 34741 Phone: 407-944-4900 Fax: 407-483-0688 | |
Donna Gomez, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2400 N Orange Blossom Trl Ste 203, Kissimmee, FL 34744 Phone: 407-932-6204 | |
Claudia E. Villalobos Leiva, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2275 Fortune Rd, Kissimmee, FL 34744 Phone: 407-201-5179 | |
Ms. Cosette Escosio Patricio, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 2450 N Orange Blossom Trl, Kissimmee, FL 34744 Phone: 407-846-4343 |