Individual provider · Type 1 NPI

Max Miranda, PA

Physician Assistant · Lakeland, FL

NPI number 1639044050 Active

Practice location

1417 Lakeland Hills Blvd Ste 102
Lakeland, FL 33805-3200

Call (863) 577-0316 Map

Mailing address

2115 Crystal Grove Dr
Lakeland, FL 33801-6875

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9121197 (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 1639044050

Max Miranda, PA's National Provider Identifier is 1639044050, issued on Oct 7, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Lakeland, FL. The record was last updated on Feb 9, 2026.