Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

George Ezzat Nicolas, CAA

Individual provider Anesthesiologist Assistant · NPI 1124642509

George Ezzat Nicolas, CAA is an Anesthesiology Assistant in Orlando, Florida. Qualified in 2020, 6 years ago. Practices with Anesthesiologists of Greater Orlando Inc, a 341-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Indiana.

Years since qualifying
6
Licensed in
FL, IN
In the registry since
2020
Specialties on file
3

Practice location Address checks out

52 Underwood St
Orlando, FL 32806-1110
Phone: (321) 841-5210
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1701 N Senate Blvd, Indianapolis, IN 46202-1239 — (317) 274-0275

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 577 (FL)
Anesthesiologist Assistant Taxonomy 367H00000X · Licence 75000154A (IN)
Anesthesiologist Assistant Taxonomy 367H00000X

Record details

NPI number1124642509
Entity typeIndividual (Type 1)
GenderMale
Credentials CAA
Sole proprietorNo
NPI enumeratedJune 2, 2020
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 15, 2025
Mailing address279 Tiger Lily Ct, Altamonte Springs, FL 32714-5842

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Anesthesiologists Of Greater Orlando Inc — 341 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Orlando