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MAX MIRANDA PA
NPI 1639044050
Physician Assistant in Lakeland, FL

Active since October 07, 2025PECOS EnrolledAccepts Medicare Assignment
1417 LAKELAND HILLS BLVD STE 102, LAKELAND, FL 33805(863) 577-0316 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 3, 2026, Oct 7, 2025 (2 updates tracked since 2025).

About Max Miranda Pa NPPES

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

MAX MIRANDA PA (NPI 1639044050) is an individual physician assistant in Lakeland, Florida, licensed in Florida (PA9121197) and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS, is affiliated with Winter Haven Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1639044050
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMAX MIRANDACredential: PA
Location Address1417 LAKELAND HILLS BLVD STE 102Lakeland, FL 33805-3200
Mailing Address2115 Crystal Grove DrLakeland, FL 33801-6875 · (863) 688-2334
Phone(863) 577-0316
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 7, 2025
Last NPPES UpdateFebruary 9, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2026
✔ NPI 1639044050 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 · PA9121197
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.
1417 LAKELAND HILLS BLVD STE 102, Lakeland, FL 33805
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Max Miranda Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264912294
PECOS Enrollment IDI20260217003970
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Winter Haven Hospital

Acute Care Hospitals · Winter Haven, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100052
Location200 Ave F NEWinter Haven, FL 33881 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

RADIOLOGY & IMAGING SPECIALISTS OF LAKELAND, PA
Radiology (Vascular & Interventional Radiology)
1417 LAKELAND HILLS BLVD STE 102
LAKELAND, FL 33805
Polk County (863) 688-2334
ALEXANDER MICHAEL SIDOR MD
Radiology (Vascular & Interventional Radiology)
1417 LAKELAND HILLS BLVD STE 102
LAKELAND, FL 33805
Polk County (863) 577-0316

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 Max Miranda's NPI number?

The NPI number for Max Miranda is 1639044050. It was assigned to this individual provider in the NPPES registry on October 7, 2025.

Where is Max Miranda located?

Max Miranda practices at 1417 Lakeland Hills Blvd Ste 102, Lakeland, FL 33805. The listed phone number is (863) 577-0316.

What is Max Miranda's specialty?

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

Is Max Miranda enrolled in Medicare?

Yes. Max Miranda is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Max Miranda affiliated with any hospitals?

According to CMS data, Max Miranda is affiliated with Winter Haven Hospital.

When was this NPI record last updated?

The NPPES record for Max Miranda was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.