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MARIO HEREDIA PA-C
NPI 1013115120
Physician Assistant in Altamonte Springs, FL

Active since July 10, 2007
711 E ALTAMONTE DR STE 210, ALTAMONTE SPRINGS, FL 32701(407) 303-5452(407) 303-5448 Get Directions Write a Review

NPPES record last updated: May 5, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mario Heredia Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIO HEREDIA PA-C (NPI 1013115120) is an individual physician assistant in Altamonte Springs, Florida, licensed in Florida (PA9108764) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1013115120
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMARIO HEREDIACredential: PA-C
Location Address711 E ALTAMONTE DR STE 210Altamonte Springs, FL 32701-4824
Mailing Address3127 W Hallandale Beach Blvd, #102Hallandale, FL 33009-5150 · (866) 816-7846 · Fax (954) 458-2928
Phone(407) 303-5452
Fax(407) 303-5448
Sole ProprietorNo
Enumeration DateJuly 10, 2007
Last NPPES UpdateMay 5, 2016
✔ NPI 1013115120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9108764
Definition
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.
711 E ALTAMONTE DR STE 210, Altamonte Springs, FL 32701
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Other Names 1

Former Name (1)Mario Alfredo Heredia Blanco Pa-c

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHYLLIS CHOVOOR POTTER
Physician Assistant
711 E ALTAMONTE DR STE 210
ALTAMONTE SPRINGS, FL 32701
Seminole County (407) 303-5452
KARSON KEIBER
Physician Assistant
711 E ALTAMONTE DR STE 210
ALTAMONTE SPRINGS, FL 32701
Seminole County (407) 303-5452
MRS. TARA L BATZ PA-C
Physician Assistant
711 E ALTAMONTE DR STE 210
ALTAMONTE SPRINGS, FL 32701
Seminole County (407) 303-5452

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mario Heredia's NPI number?

The NPI number for Mario Heredia is 1013115120. It was assigned to this individual provider in the NPPES registry on July 10, 2007. The provider is also known as Mario Alfredo Heredia Blanco Pa-C.

Where is Mario Heredia located?

Mario Heredia practices at 711 E Altamonte Dr Ste 210, Altamonte Springs, FL 32701. The listed phone number is (407) 303-5452.

What is Mario Heredia's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Mario Heredia was last updated on May 5, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.