Mario Heredia, PA-C - Physician Assistant in Altamonte Springs, FL

Mario Heredia, PA-C is a Physician Assistant based in Altamonte Springs, Florida. Mario Heredia is licensed to practice in Florida (license number PA9108764) and his current practice location is 711 E Altamonte Dr Ste 210, Altamonte Springs, Florida. He can be reached at his office (for appointments etc.) via phone at (407) 303-5452.

NPI number for Mario Heredia is 1013115120 and his current mailing address is 3127 W Hallandale Beach Blvd, #102, Hallandale, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013115120.

Contact Information

Mario Heredia, PA-C
711 E Altamonte Dr Ste 210,
Altamonte Springs, FL 32701-4824
(407) 303-5452
(407) 303-5448



Provider's Profile

Full NameMario Heredia
GenderMale
SpecialityPhysician Assistant
Location711 E Altamonte Dr Ste 210, Altamonte Springs, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013115120
  • Provider Enumeration Date: 07/10/2007
  • Last Update Date: 05/05/2016

Medical Identifiers

Medical identifiers for Mario Heredia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013115120NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA9108764 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mario Heredia is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mario Heredia, PA-C
3127 W Hallandale Beach Blvd, #102,
Hallandale, FL 33009-5150

Ph: (866) 816-7846
Mario Heredia, PA-C
711 E Altamonte Dr Ste 210,
Altamonte Springs, FL 32701-4824

Ph: (407) 303-5452

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› Verified 5 days ago


Physician Assistant Nurses in Altamonte Springs, FL

Aldo Joseph Piovesan, P.A.-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 711 E Altamonte Dr Ste 210, Altamonte Springs, FL 32701
Phone: 407-303-5452    Fax: 407-303-5448
Mrs. Lydia Karlyn Marsham, PA - C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 460 E Altamonte Dr Ste 2200, Altamonte Springs, FL 32701
Phone: 407-767-0009    Fax: 407-767-0022
Mr. Mark Anthony Payne, PAC
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 921 W Lake Brantley Rd, Altamonte Springs, FL 32714
Phone: 321-624-3102    
Brock Perly, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 661 E Altamonte Dr Ste 325, Altamonte Springs, FL 32701
Phone: 407-303-4120    Fax: 407-303-4124
Haley Kranz, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 251 Maitland Ave Ste 116, Altamonte Springs, FL 32701
Phone: 407-915-5643    Fax: 407-960-2602
Mr. Raphael O Reyes, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 539 Maitland Avenue, Suite 1002, Altamonte Springs, FL 32701
Phone: 407-539-2111    Fax: 407-539-1211

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