Individual ProviderFedine NicolasNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address525 Technology Park Ste 109, Lake Mary, FL 32746-7107(407) 647-2346PECOS EnrollmentBased on the most recent information from CMS, provider Fedine Nicolas is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 11:21 AM.Profile DetailsProvider ID1588528491Provider TypeIndividualFull NameNicolas, FedineGenderFemaleSole ProprietorNoEnumeration Date12/15/2025Last Updated1/30/2026Contact InformationPractice LocationPractice Address525 Technology Park Ste 109, Lake Mary, FL 32746-7107Phone(407) 647-2346FaxUnlisted FaxMailing LocationMailing Address7148 Colony Club Dr Apt 305, Lake Worth, FL 33463-7830PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LP0808XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense11042792Florida