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

Individual provider Physician Assistant · NPI 1376306654

Nicole Lerebours, PA-C is a Physician Assistant in Miami, Florida. Qualified in 2024, 2 years ago. Practices with Aqua Dermatology of Florida, PA, a 184-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2024
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

8740 N Kendall Dr Ste 101
Miami, FL 33176-2209
Phone: (305) 661-8978
Fax: (941) 296-8501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 925 Ne 30th Ter Ste 308, Homestead, FL 33033-7614 — (786) 670-9799

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9118706 (FL)

Record details

NPI number1376306654
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 31, 2024
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Aqua Dermatology Of Florida, Pa — 184 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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