| Kenneth Edward Nida, PA | |
| 
					320 N Clyde Morris Blvd, Daytona Beach, FL 32114-2744  | |
| (386) 238-3293 | |
| (386) 238-3223 | 
| Full Name | Kenneth Edward Nida | 
|---|---|
| Gender | Male | 
| Speciality | Physician Assistant | 
| Location | 320 N Clyde Morris Blvd, Daytona Beach, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1659525681 | NPI | - | NPPES | 
| Y0Q8M | Other | FL | BCBS | 
| 014260400 | Medicaid | FL | |
| 1659525681 | Other | FL | TRICARE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363A00000X | Physician Assistant | PA 9107756 (Florida) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kenneth Edward Nida, PA Po Box 9671, Daytona Beach, FL 32120-9671 Ph: (386) 676-7130  | Kenneth Edward Nida, PA 320 N Clyde Morris Blvd, Daytona Beach, FL 32114-2744 Ph: (386) 238-3293  | 
Rhonda Lee Gleason, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 305 Memorial Medical Pkwy Ste 308, Daytona Beach, FL 32117 Phone: 386-231-3600 Fax: 386-231-3602  | |
Brent Wilkins, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1865 Lpga Blvd, Daytona Beach, FL 32117 Phone: 386-255-4596 Fax: 386-258-3561  | |
Angelica Diez,  Physician Assistant Medicare: Medicare Enrolled Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-425-4000  | |
Savanna Hanh Duong, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 877-842-5432  | |
Celeste Nadine Welch, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 305 Memorial Medical Pkwy Ste 300, Daytona Beach, FL 32117 Phone: 386-231-3513 Fax: 386-231-3612  | |
Armando Fernandez, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-254-4000  | |
Marissa Stewart, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 305 Memorial Medical Pkwy Ste 401, Daytona Beach, FL 32117 Phone: 386-231-3540  |