Nicole Floyd Palm, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9107536 Issued in FL

Practice address

7800 Lake Underhill Rd
Orlando Medical Centers
Orlando, FL 32822

Phone

(407) 282-2244

Fax

(407) 282-2002

NPI assigned

Jun 9, 2014

Last updated

Jun 11, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Jacquelynne Nicole Floyd Former name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kent S Hoffman DO PA

  • Family Medicine Physician
  • Maitland, FL
  • NPI 1285827378
  Medicare reassignment
• Neil Coskun, MD,PA

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1205916699
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1497168330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 LAKE UNDERHILL RD",
            "address_2": "ORLANDO MEDICAL CENTERS",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32822",
            "telephone_number": "407-282-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 LAKE UNDERHILL RD",
            "address_2": "ORLANDO MEDICAL CENTERS",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32822",
            "telephone_number": "407-282-2244",
            "fax_number": "407-282-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALM",
        "first_name": "NICOLE",
        "middle_name": "FLOYD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-09",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9107536",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "PA9107536",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELYNNE",
            "last_name": "FLOYD",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Palm Beach Pediatrics, LLC (Bluebird Kids Health)
• Palm Coast Urgent Care
• Palm Garden of Orlando LLC (Palm Garden of Orlando)
• Palm Medical Center Lakeland LLC (Palm Medical Centers)
• Palm Medical Center Lakeland LLC (Palm Medical Centers)
• Jonathan P Palma, MD
• Luis Alberto Palma, LPN
• Paul Palma, MD
• Rosa Maria Palma
• Cassandra Palmeno

• Medical Physician Assistant in Orlando, FL
• Providers in Orlando, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.