Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARIO HEREDIA, PA-C
ActiveMARIO HEREDIA, PA-C is a Physician Assistant healthcare provider located in ALTAMONTE SPRINGS, Florida. NPI 1013115120 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ALTAMONTE SPRINGS, FL
Registration Details
- NPI Number
- 1013115120
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 10, 2007 (19.079010875043 yrs)
- Last Updated
- May 5, 2016
- License
-
PA9108764 (FL)
Practice Information
- Address
-
711 E ALTAMONTE DR STE 210ALTAMONTE SPRINGS, FL, 327014824Browse FL providers · Browse ZIP 32701
- Phone
- 4073035452
- Fax
- 4073035448
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in ALTAMONTE SPRINGS, FL
| Name | Credential | NPI |
|---|---|---|
| MR. CHRISTOPHER BOLTERSDORF | PA-C | 1689649634 |
| MR. RAPHAEL O REYES | PA | 1154365039 |
| SCOTT GILES | P.A. | 1487675385 |
| ROBERT CYMERMAN | PA-C | 1861416729 |
| MRS. TARA L BATZ | PA-C | 1639282841 |
| THOMAS KOEHNE | PA-C | 1629166434 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.