NICOLE FLOYD PALM PA-C
NPI 1497168330
Physician Assistant - Medical in Orlando, FL

Q: What is Nicole Palm's NPI number?

The NPI number for Nicole Palm is 1497168330. It was assigned to this individual provider in the NPPES registry on June 9, 2014. The provider is also known as Jacquelynne Nicole Floyd.

Q: What is Nicole Palm's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Palm was last updated on June 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 09, 2014PECOS Enrolled

7800 LAKE UNDERHILL RD, ORLANDO MEDICAL CENTERS, ORLANDO, FL 32822(407) 282-2244(407) 282-2002 Get Directions Write a Review

NPPES record last updated: June 11, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2018, Dec 1, 2015 (2 updates tracked since 2015).

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About Nicole Floyd Palm Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE FLOYD PALM PA-C (NPI 1497168330) is an individual medical provider in Orlando, Florida, licensed in Florida (PA9107536) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497168330

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameNICOLE FLOYD PALMCredential: PA-C

Location Address7800 LAKE UNDERHILL RD, ORLANDO MEDICAL CENTERSOrlando, FL 32822

Mailing Address7800 Lake Underhill Rd, Orlando Medical CentersOrlando, FL 32822 · (407) 282-2244

Phone(407) 282-2244

Fax(407) 282-2002

Sole ProprietorNo

Enumeration DateJune 9, 2014

Last NPPES UpdateJune 11, 20182 updates tracked since enumeration

✔ NPI 1497168330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in FL · PA9107536

Also ListedInternal MedicineTaxonomy 207R00000X · License PA9107536 (FL)

7800 LAKE UNDERHILL RD, Orlando, FL 32822

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Other Names 1

Former Name (1)Jacquelynne Nicole Floyd

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Floyd Palm Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SONIA SORAYA ADAMS PA-C

Physician Assistant (Medical)