MS. NICOLE RIDLE, PA-C

Physician Assistant

Active Individual
NPI: 1861946113

Practice Address

17820 SE 109TH AVE SUITE 104
Summerfield, FL 34491

Phone: (352) 320-3200

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes PA9109824 (FL)

Frequently Asked Questions

NPI 1861946113 is the National Provider Identifier for MS. NICOLE RIDLE, PA-C, a Physician Assistant provider located in Summerfield, FL. This NPI was enumerated on August 3, 2016.
MS. NICOLE RIDLE, PA-C practices at 17820 SE 109TH AVE SUITE 104, Summerfield, FL 34491.

Quick Facts

NPI
1861946113
Type
Individual
Enumerated
Aug 3, 2016
Last Updated
Dec 4, 2025

Nearby Providers