Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MAX MIRANDA, PA
ActiveMAX MIRANDA, PA is a Physician Assistant healthcare provider located in LAKELAND, Florida. NPI 1639044050 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LAKELAND, FL
Registration Details
- NPI Number
- 1639044050
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 7, 2025 (0.84482590598516 yrs)
- Last Updated
- Feb 9, 2026
- License
-
PA9121197 (FL)
Practice Information
- Address
-
1417 LAKELAND HILLS BLVD STE 102LAKELAND, FL, 338053200Browse FL providers · Browse ZIP 33805
- Phone
- 8635770316
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in LAKELAND, FL
| Name | Credential | NPI |
|---|---|---|
| VISHIA M TALBOT | PA-C | 1396731618 |
| MR. JASON KUMLIEN | PA | 1699756155 |
| MS. LISA KORIN | PA | 1578544045 |
| BRENDA M O'HAIR | PA-C | 1386617504 |
| ROBERT GEORGE PERRY | PA | 1407823768 |
| MR. RONNIE WYATT | PA | 1154399095 |
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.