Lara Nicolas
Pediatric Critical Care Medicine | Female
Lara Nicolas is a Gainesville, Florida based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Lara Nicolas is
1600 Sw Archer Rd, Gainesville, Florida - 32610-3001. She can be contacted on phone at
352-265-0462 and fax number 352-265-0443.
Lara Nicolas is a sole proprietor of her business.
NPI number (Unique professional ID) for Lara Nicolas is
1821309618 which was assigned by NPPES on 25 Jun, 2010 and it was last updated on 09 Sep, 2016.
Lara Nicolas license number is
ME127080 for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in Florida.
Lara Nicolas is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Lara Nicolas basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
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| Provider Name : | Lara Nicolas |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Lara Nicolas address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1600 Sw Archer Rd
Gainesville, FL, 32610-3001
United States |
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| Phone Number : | 352-265-0462 |
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| Fax Number : | 352-265-0443 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1821309618 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 25 Jun, 2010 |
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| Last Updated On : | 09 Sep, 2016 |
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Medicare Participation:
Lara Nicolas participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 7416186747 |
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| Medicare Enrollment ID : | I20160822001279 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Other |
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| Graduation Year : | 2009 |
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| Accepts Medicare? | Yes. Lara Nicolas accepts medicare insurance. |
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Group Practice Association:
Lara Nicolas is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Lara Nicolas is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Florida Clinical Practice Association Inc | 0345146254 | 1603 | 2001 Sw 13th St
Gainesville, FL - 326081532
Ph: 3522658990 | Yes |
| Florida Clinical Practice Association Inc | 0345146254 | 1603 | 2001 Sw 13th St
Gi Clinic At Endoscopy Center
Gainesville, FL - 326081532
Ph: 3522658982 | Yes |
| Florida Clinical Practice Association Inc | 0345146254 | 1603 | 1600 Sw Archer
Gainesville, FL - 326103003 | Yes |
| Florida Clinical Practice Association Inc | 0345146254 | 1603 | 1600 Sw Archer Rd
Gainesville, FL - 326103003 | Yes |
| Florida Clinical Practice Association Inc | 0345146254 | 1603 | 1600 Sw Archer Rd Rm
1191 Uf Health Surgical Specialists Shands Hospital
Gainesville, FL - 326103003
Ph: 3522650535 | Yes |
| Florida Clinical Practice Association Inc | 0345146254 | 1603 | 2000 Sw Archer Rd
Uf Health Congenital Heart Center Medical Plaza
Gainesville, FL - 326103003
Ph: 3522658250 | Yes |
| Florida Clinical Practice Association Inc | 0345146254 | 1603 | Uf Health Test Site Pop Up 1600 Sw Archer Rd
Gainesville, FL - 326103003
Ph: 3523921161 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lara Nicolas are as mentioned. Primary taxonomy code for Lara Nicolas is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | No | 125.057377 | IL |
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | ME127080 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Lara Nicolas such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 017856800 | MEDICAID | FL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 100296
Gainesville, FL, 32610-0296
United States |
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| Phone Number : | 352-265-0462 |
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| Fax Number : | 352-265-0443 |
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Business Location:
Patients can refer following map for directions to
Lara Nicolas practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.