Heredia, Mario

Heredia, Mario is an individual health care provider with primary practice located at 711 E Altamonte Dr Ste 210 , Altamonte Springs FL 32701-4824. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Heredia, Mario can be contacted via phone (407) 303-5452.

Contact Information

Primary practice address
711 E Altamonte Dr Ste 210 Altamonte Springs FL 32701-4824
Phone: (407) 303-5452
Fax: (407) 303-5448
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9108764 Florida

Profile Details

NPI number 1013115120
LBN Legal business name Heredia, Mario
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2007
Last updated May 5th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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