Individual provider · Type 1 NPI

Mario Heredia, PA-C

Physician Assistant · Altamonte Springs, FL

NPI number 1013115120 Active

Practice location

711 E Altamonte Dr Ste 210
Altamonte Springs, FL 32701-4824

Fax (407) 303-5448

Mailing address

3127 W Hallandale Beach Blvd, #102
Hallandale, FL 33009-5150

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9108764 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1013115120

Mario Heredia, PA-C's National Provider Identifier is 1013115120, issued on Jul 10, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Altamonte Springs, FL. The record was last updated on May 5, 2016.