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

Individual provider Surgical Physician Assistant · NPI 1740847128

Nicole Rothe, PA-C, MSCCC-SLP is a Surgical Physician Assistant in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2019.

Licensed in
FL
In the registry since
2019
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

2 Shircliff Way Ste 200
Jacksonville, FL 32204-4766
Phone: (904) 308-2006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9122119 (FL)

Record details

NPI number1740847128
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , MSCCC-SLP
Sole proprietorNo
NPI enumeratedMay 21, 2019
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026

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