Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mario Heredia, PA-C

Individual provider Physician Assistant · NPI 1013115120

Mario Heredia, PA-C is a Physician Assistant in Altamonte Springs, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

711 E Altamonte Dr Ste 210
Altamonte Springs, FL 32701-4824
Phone: (407) 303-5452
Fax: (407) 303-5448
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9108764 (FL)

Record details

NPI number1013115120
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 10, 2007
Last updated in NPPESMay 5, 2016
Mailing address3127 W Hallandale Beach Blvd, 102, Hallandale, FL 33009-5150

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