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

Lara Nicolas

Individual provider Pediatrics Physician · NPI 1821309618

Lara Nicolas is a Pediatric Medicine in Gainesville, Florida. Qualified in 2009, 17 years ago. Practices with Florida Clinical Practice Association Inc, a 1,885-clinician group and accepts Medicare assignment. Licensed in Florida and Illinois.

Years since qualifying
17
Licensed in
FL, IL
In the registry since
2010
Specialties on file
2
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Practice location Address checks out

1600 SW Archer Rd
Gainesville, FL 32610-3001
Phone: (352) 265-0462
Fax: (352) 265-0443
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Critical Care Medicine Physician (primary) Taxonomy 2080P0203X · Licence ME127080 (FL)
Pediatrics Physician Taxonomy 208000000X · Licence 125.057377 (IL)

Record details

NPI number1821309618
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 25, 2010
Last updated in NPPESSeptember 9, 2016
Mailing addressPo Box 100296, Gainesville, FL 32610-0296

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Florida Clinical Practice Association Inc — 1885 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Gainesville