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

Michelle A Pettit, PAC

Individual provider Physician Assistant · NPI 1114000676

Michelle A Pettit, PAC is a Physician Assistant in Orlando, Florida. Qualified in 2002, 24 years ago. Practices with Lakeland Regional Health Systems Inc, a 503-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
24
Licensed in
VA
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

4215 Edgewater Dr
Orlando, FL 32804-2206
Phone: (973) 826-8291
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110004438 (VA)

Record details

NPI number1114000676
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedOctober 20, 2006
Last updated in NPPESMarch 12, 2021
Certification dateMarch 12, 2021
Mailing addressPo Box 4059, Wayne, NJ 07474-4059

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Lakeland Regional Health Systems Inc — 503 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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