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

Nichole M Palomba, PA-C

Individual provider Physician Assistant · NPI 1124494661

Nichole M Palomba, PA-C is a Physician Assistant in Palm Bay, Florida. Qualified in 2015, 11 years ago. Practices with Shadetree Dermatology LLC, a 6-clinician group and works from 2 locations. Licensed in Florida and Massachusetts.

Years since qualifying
11
Licensed in
FL, MA
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5070 Minton Rd NW Ste 3
Palm Bay, FL 32907-1157
Phone: (321) 768-1600
Fax: (321) 799-4903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 26 Queen St, Worcester, MA 01610-2473 — (508) 860-7700

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA120411 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA5551 (MA)

Record details

NPI number1124494661
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 19, 2015
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Shadetree Dermatology Llc — 6 clinicians
Accepts Medicare assignment Not indicated
Practice locations6 on file with Medicare

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