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

Mr. Ivan R Repass, PA-C

Individual provider Physician Assistant · NPI 1548374770

Mr. Ivan R Repass, PA-C is a Physician Assistant in Lake Mary, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

701 Platinum Pt
Lake Mary, FL 32746-4871
Phone: (407) 206-4500
Fax: (407) 829-2563
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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 PA1668 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA1668 (FL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA1668 (FL)

Record details

NPI number1548374770
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 17, 2006
Last updated in NPPESMarch 6, 2012

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