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

Nimra Tariq

Individual provider Physician Assistant · NPI 1316822810

Nimra Tariq is a Physician Assistant in Orlando, Florida. Qualified in 2025, 1 year ago. Accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025

Practice location Address checks out

4850 Millenia Blvd
Orlando, FL 32839-6012
Phone: (407) 264-5601
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1316822810
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 6, 2025
Last updated in NPPESAugust 6, 2025
Certification dateAugust 5, 2025
Mailing address44470 Keller Sq Apt 102, Ashburn, VA 20147-7115

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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