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

Nicholas Andrew Mudra, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1336892892

Nicholas Andrew Mudra, PHYSICIANASSISTANT is a Physician Assistant in Gainesville, Florida. Licensed in Florida. Registered with an NPI since 2022.

Licensed in
FL
In the registry since
2022

Practice location Address checks out

1601 SW Archer Rd
Gainesville, FL 32608-1135
Phone: (800) 324-8387
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9115550 (FL)

Record details

NPI number1336892892
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedFebruary 3, 2022
Last updated in NPPESFebruary 3, 2022
Certification dateFebruary 3, 2022

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