Active NPIIndividual provider

Nichole M Palomba, PA-C

Physician Assistant in Palm Bay, Florida

NPI Number1124494661
Practice location
5070 Minton RD NW Ste 3, Palm Bay, FL 32907-1157
Fax
321-799-4903
Last updated
May 4, 2026

Nichole M Palomba is a Physician Assistant based in Palm Bay, FL. Nichole M Palomba practices in Palm Bay, FL and has the professional credentials of PA-C. The NPI Number for Nichole M Palomba is 1124494661 and holds a License No. PA120411 (FL). The current practice location address for Nichole M Palomba is 5070 Minton RD NW Ste 3, Palm Bay, FL 32907-1157 and can be reached out via phone at 321-768-1600 and via fax at 321-799-4903.

Provider Profile Details

NPI Number
1124494661
Provider Name
Nichole M Palomba
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
5070 Minton RD NW Ste 3, Palm Bay, FL 32907-1157
Phone Number
321-768-1600
Fax Number
321-799-4903
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Other Names
Nichole M Rosato, PA-C (Former Name)
Provider Enumeration Date
August 19, 2015
Last Update Date
May 4, 2026
Certification Date
May 4, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
5070 Minton RD NW Ste 3
Palm Bay, FL 32907-1157
State
Florida
Zip
32907-1157
Phone Number
321-768-1600
Fax Number
321-799-4903
Palm Bay, FL 32907Get directions →

Provider Business Mailing Address Details

Address
5070 Minton RD NW Ste 3
Palm Bay, FL 32907-1157
City
Palm Bay
State
FL
Zip
32907-1157
Phone Number
321-768-1600
Fax Number
321-799-4903

License Information

License Number (1)
PA120411
License State (1)
FL
Taxonomy (1)
Physician Assistant · 363A00000X · Primary
License Number (2)
PA5551
License State (2)
MA
Taxonomy (2)
Physician Assistant · 363A00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nichole M Palomba, PA-C?

The NPI number of Nichole M Palomba, PA-C is 1124494661. It was assigned on August 19, 2015 and is currently active in the NPPES registry.

What is the specialty of Nichole M Palomba, PA-C?

Nichole M Palomba, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in FL under license number PA120411.

Where does Nichole M Palomba, PA-C practice?

The practice location is 5070 Minton RD NW Ste 3, Palm Bay, FL 32907-1157. The office can be reached at 321-768-1600 (phone) or 321-799-4903 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124494661 directly on the NPPES registry website.

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