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

Lara Nicolas

Individual provider Pediatrics Physician · NPI 1821309618

Lara Nicolas is a Pediatric Medicine in Gainesville, Florida. Qualified in 2009, 17 years ago. Practices with Florida Clinical Practice Association Inc, a 1,885-clinician group and accepts Medicare assignment. Licensed in Florida and Illinois.

Years since qualifying
17
Licensed in
FL, IL
In the registry since
2010
Specialties on file
2
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Practice location Address checks out

1600 SW Archer Rd
Gainesville, FL 32610-3001
Phone: (352) 265-0462
Fax: (352) 265-0443
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Critical Care Medicine Physician (primary) Taxonomy 2080P0203X · Licence ME127080 (FL)
Pediatrics Physician Taxonomy 208000000X · Licence 125.057377 (IL)

Record details

NPI number1821309618
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 25, 2010
Last updated in NPPESSeptember 9, 2016

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Florida Clinical Practice Association Inc — 1885 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Gainesville