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MS. REKHA NIDADAVOLU PHYSICIAN ASSISTANT
NPI 1902138217
Physician Assistant in Saint Cloud, FL

Active since February 11, 2010
4745 OLD CANOE CREEK RD, SAINT CLOUD, FL 34769(305) 905-9316 Get Directions Write a Review

NPPES record last updated: January 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Rekha Nidadavolu Physician Assistant NPPES

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

MS. REKHA NIDADAVOLU PHYSICIAN ASSISTANT (NPI 1902138217) is an individual physician assistant in Saint Cloud, Florida, licensed in Florida (PA9111839) and active in the NPI registry since February 2010.

NPPES Registry Identity

NPI1902138217
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. REKHA NIDADAVOLUCredential: PHYSICIAN ASSISTANT
Location Address4745 OLD CANOE CREEK RDSaint Cloud, FL 34769-1400
Mailing Address4745 Old Canoe Creek RdSaint Cloud, FL 34769-1400 · (305) 905-9316
Phone(305) 905-9316
Sole ProprietorYes
Enumeration DateFebruary 11, 2010
Last NPPES UpdateJanuary 30, 2020
✔ NPI 1902138217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9111839
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPharmacistTaxonomy 183500000X · License 24667 (MA), PS44664 (FL)
4745 OLD CANOE CREEK RD, Saint Cloud, FL 34769
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Other Names 1

Former Name (1)Dr. Rekha Pinjala Pharm-d

Other Identifiers 3

Other24667MA · Pharmacist License
OtherPA9111839FL · Florida Physician Assistant Board
OtherPS44664FL · Florida Board Of Pharmacy

Other Providers at the Same Location NPPES 4

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

ANGIE ROJAS NP
Nurse Practitioner (Family)
4745 OLD CANOE CREEK RD
SAINT CLOUD, FL 34769
Osceola County (407) 818-1664
DR. NAGA LAKSHMANA PRASAD NIDADAVOLU M.D
Psychiatry & Neurology (Neuromuscular Medicine)
4745 OLD CANOE CREEK RD
SAINT CLOUD, FL 34769
Osceola County (407) 818-1664
LAKE CITY INSTITUTE OF NEUROLOGY PA
Psychiatry & Neurology (Neuromuscular Medicine)
4745 OLD CANOE CREEK RD
SAINT CLOUD, FL 34769
Osceola County (407) 818-1664
LAKE CITY INSTITUTE OF NEUROLOGY PA
Psychiatry & Neurology (Neurology)
4745 OLD CANOE CREEK RD
SAINT CLOUD, FL 34769
Osceola County (407) 818-1664

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rekha Nidadavolu's NPI number?

The NPI number for Rekha Nidadavolu is 1902138217. It was assigned to this individual provider in the NPPES registry on February 11, 2010. The provider is also known as Dr. Rekha Pinjala Pharm-D.

Where is Rekha Nidadavolu located?

Rekha Nidadavolu practices at 4745 Old Canoe Creek Rd, Saint Cloud, FL 34769. The listed phone number is (305) 905-9316.

What is Rekha Nidadavolu's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Rekha Nidadavolu was last updated on January 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.