Individual provider · Type 1 NPI
Lonnie Ray Harding, PA-C
Surgical Physician Assistant · Wimauma, FL
NPI number
1154329290
Active
Practice location
5129 State Road 674, Suite A
Wimauma, FL 33598-3530
Fax (813) 633-2669
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | PA2166 (FL) |
| Medical Physician Assistant | 363AM0700X | PA2166 (FL) |
| Surgical Physician Assistant Primary | 363AS0400X | PA2166 (FL) |
Surgical Physician Assistant: Definition to come...
Another provider at this address
About NPI 1154329290
Lonnie Ray Harding, PA-C's National Provider Identifier is 1154329290, issued on Jul 12, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Wimauma, FL. The record was last updated on Sep 11, 2025.