Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1104234459 Deactivated / Inactive NPI Male Practitioner

Paul Lydic

Licensed Practical Nurse • Orlando, FL

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Paul Lydic has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 31, 2014
NPI Deactivation Date July 17, 2020
Total Practice Duration ~6 Years of Practice (2014 – 2020)

Professional Overview & Biography Verified Profile Summary

Paul Lydic was a registered Licensed Practical Nurse practicing in Orlando, FL. Throughout an active medical career spanning 6 years, Paul Lydic provided care at the practice location at 1800 MERCY DR until profile deactivation on 2020-07-17.

Practice Location & Contact Primary Location

Practice Address

1800 Mercy Dr
Suite 302

Orlando, FL 328085646

Telephone 4078753700
Fax 4075224671
Associated Practice Facility / Clinic
🏢 Aspire Health Partners, Inc. Facility NPI 1821033903

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Orlando, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.0 Yrs
Regional Practice Density
74 Specialists

Practicing in Orlando, FL (1995 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License FL PN5179691

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003110602
Sheena Allman

Counselor

NPI 1003126525
NPI 1003141987
Terrence Woodard

Counselor - Mental Health

NPI 1003161431
Danielle Henry

Counselor - Mental Health

NPI 1003169319
Wanda Grant , RN

Registered Nurse - Psychiatric/Mental Health

NPI 1003192014

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated July 17, 2020

Record deactivated on July 17, 2020

NPI Profile Active July 31, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 31, 2014

Registered at 1800 MERCY DR, SUITE 302, ORLANDO, FL 328085646 (Tel: 4078753700)

📍
Updated Business Mailing Address July 31, 2014

Registered at 1800 MERCY DR, SUITE 302, ORLANDO, FL 328085646 (Tel: 4078753700)

👤
Provider Name / Credentials Updated July 31, 2014

Recorded as PAUL LYDIC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2014

Licensed Practical Nurse (License #PN5179691 in FL)

🟢
Initial NPI Registration & Enumeration July 31, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Paul Lydic. Be the first to share your experience!

Sign in to leave a review for Paul Lydic

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1104234459
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2014
Last Update: July 31, 2014
Deactivation Date: July 17, 2020

Mailing Address

1800 Mercy Dr, Suite 302

Orlando, FL 328085646

Phone: 4078753700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.