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

Nikenston Moise, PA

Individual provider Internal Medicine Physician · NPI 1205498250

Nikenston Moise, PA is an Internal Medicine Physician in Port Orange, Florida. Licensed in Puerto Rico. Registered with an NPI since 2019.

Licensed in
PR
In the registry since
2019
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

3890 Turtle Creek Dr Ste C
Port Orange, FL 32127-9352
Phone: (386) 756-4400
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 000234-PA (PR)

Record details

NPI number1205498250
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 30, 2019
Last updated in NPPESJune 30, 2019

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