Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639044050 Individual Practitioner Male Practitioner

Max Miranda , PA

Physician Assistant • Lakeland, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Max Miranda, PA is a certified Physician Assistant practicing in Lakeland, FL. With approximately 1 years of clinical experience since completing medical education in 2025, Max Miranda delivers high-quality medical care to the local community at 1417 LAKELAND HILLS BLVD STE 102.

Max Miranda is affiliated with Radiology And Imaging Specialists Of Lakeland and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1417 Lakeland Hills Blvd Ste 102

Lakeland, FL 338053200

Telephone 8635770316
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Lakeland, FL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -7.7 yrs vs City Avg
City Avg: 8.7 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
92 Specialists

Practicing in Lakeland, FL (10376 Statewide)

Telehealth Adoption Rate
3.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Miranda (1 Years) 1 Yrs
Lakeland Specialty Average (8.7 Years) 8.7 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-02-09
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9121197

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.

Hospital & Practice Group Affiliations

Radiology And Imaging Specialists Of Lakeland

101 Ave O Se, Winter Haven, FL 338804333

Phone: 8632947010

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Alexander Sidor , MD

Radiology - Vascular & Interventional Radiology

NPI 1104315316

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location February 09, 2026

Registered at 1417 LAKELAND HILLS BLVD STE 102, LAKELAND, FL 338053200 (Tel: 8635770316)

👤
Provider Name / Credentials Updated February 09, 2026

Recorded as MAX MIRANDA, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2026

Physician Assistant (License #PA9121197 in FL)

📍
Updated Practice Location February 03, 2026

Registered at 2115 CRYSTAL GROVE DR, LAKELAND, FL 338016875 (Tel: 8636882334)

📍
Updated Business Mailing Address February 03, 2026

Registered at 2115 CRYSTAL GROVE DR, LAKELAND, FL 338016875 (Tel: 8636882334)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2026

Physician Assistant

NPI Profile Active October 07, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location October 07, 2025

Registered at 401 W KENNEDY BLVD, TAMPA, FL 336061490 (Tel: 8132533333)

📍
Updated Business Mailing Address October 07, 2025

Registered at 401 W KENNEDY BLVD, TAMPA, FL 336061490 (Tel: 8132533333)

👤
Provider Name / Credentials Updated October 07, 2025

Recorded as MAX MIRANDA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2025

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration October 07, 2025

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: 1639044050
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 07, 2025
Last Update: February 09, 2026
Sole Proprietor: No

Mailing Address

2115 Crystal Grove Dr

Lakeland, FL 338016875

Phone: 8636882334

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.