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

Nicole Sultan

Individual provider Physician Assistant · NPI 1770045056

Nicole Sultan is a Physician Assistant in Jacksonville, Florida. Graduated from Nova Southeastern College of Osteo Medicine in 2020, 6 years ago. Practices with Womens Care Florida LLC, a 330-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
6
Trained at
Nova Southeastern College of Osteo Medicine
Licensed in
FL
In the registry since
2019
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Practice location Address checks out

14546 Old Saint Augustine Rd Ste 402
Jacksonville, FL 32258-5473
Phone: (904) 245-1328
Fax: (904) 562-5335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 — (305) 243-6090

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9113550 (FL)

Record details

NPI number1770045056
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 4, 2019
Last updated in NPPESApril 15, 2024
Certification dateApril 15, 2024
Mailing addressPo Box 748817, Atlanta, GA 30374-8817

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolNOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated 2020 (6 years in practice)
Group practice Womens Care Florida Llc — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Jacksonville