Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013115120 Individual Practitioner Male Practitioner

Mario Heredia , PA-C

Physician Assistant • Altamonte Springs, FL

Professional Overview & Biography Verified Profile Summary

Mario Heredia, PA-C is a registered healthcare professional specializing in Physician Assistant in Altamonte Springs, FL. Practice services are available at 711 E ALTAMONTE DR STE 210 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

711 E Altamonte Dr Ste 210

Altamonte Springs, FL 327014824

Telephone 4073035452
Fax 4073035448
Associated Practice Facility / Clinic
🏢 Gave Corporation Facility NPI 1841235553

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Altamonte Springs, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.6 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
40 Specialists

Practicing in Altamonte Springs, FL (10376 Statewide)

Telehealth Adoption Rate
17.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9108764

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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Phyllis Potter

Physician Assistant

NPI 1447989694
Karson Keiber

Physician Assistant

NPI 1497614523
Tara Batz , PA-C

Physician Assistant

NPI 1639282841

Physician Assistant (Certified)

Dr. Vivek Nagar , MD

Physical Medicine & Rehabilitation

NPI 1689104960

Doctor of Medicine (M.D.)

Dr. Chetan Patel , MD

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NPI 1841272093

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 05, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 05, 2016

Registered at 711 E ALTAMONTE DR STE 210, ALTAMONTE SPRINGS, FL 327014824 (Tel: 4073035452)

📍
Updated Business Mailing Address May 05, 2016

Registered at 3127 W HALLANDALE BEACH BLVD, #102, HALLANDALE, FL 330095150 (Tel: 8668167846)

👤
Provider Name / Credentials Updated May 05, 2016

Recorded as MARIO HEREDIA, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2016

Physician Assistant (License #PA9108764 in FL)

🟢
Initial NPI Registration & Enumeration July 10, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013115120
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 10, 2007
Last Update: May 05, 2016
Sole Proprietor: No

Mailing Address

3127 W Hallandale Beach Blvd, #102

Hallandale, FL 330095150

Phone: 8668167846

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.