Active NPI
Nishla Sobers, PA C
- Physician Assistant
- Winter Park, FL
National Provider Identifier
1063460244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9103569
- Practice address
- 1950 Lee Rd
Ste 105
Winter Park, FL 32789 - Phone
- (407) 647-2346
- Fax
- (407) 647-5431
- NPI assigned
- May 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9103569 | FL | Primary |
Addresses
Primary practice location
1950 Lee Rd
Ste 105
Winter Park, FL 32789
Mailing address
1950 Lee Rd
Ste 105
Winter Park, FL 32789
Phone (407) 647-2346
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300591 | Other | FL | AVMED |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9103569 | FL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1063460244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 LEE RD",
"address_2": "STE 105",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "32789",
"telephone_number": "407-647-2346",
"fax_number": "407-647-5431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 LEE RD",
"address_2": "STE 105",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "32789",
"telephone_number": "407-647-2346",
"fax_number": "407-647-5431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOBERS",
"first_name": "NISHLA",
"name_prefix": "Ms.",
"credential": "PA C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-04",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9103569",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "300591",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.