MIA ROSE HARDACK (NPI# 1538717806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538717806 |
| Entity Type | Individual |
| Full Name | MIA ROSE HARDACK |
| Credential | PA |
| Practice Address |
151 Southhall Ln Ste 300 Maitland FL 32751-7172 |
| Practice Telephone | 4078752080 |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2019-08-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
151 SOUTHHALL LN STE 300 |
| City | MAITLAND |
| State | FL |
| Zip Code | 32751-7172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174942403 | Jeffrey W Collins | Dermatology | 151 Southhall Ln Ste 300, Maitland, FL 32751-7172 | 2014-04-15 |
| 1164905196 | Alexandra Gabrielle Feuer | Physician Assistant | 151 Southhall Ln Ste 300, Maitland, FL 32751-7172 | 2018-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302899 | Compassionate Care Psychiatry | Psychiatry & Neurology | 1717 Goldveiw Drive, Maitland, FL 32751 | 2020-09-24 |
| 1437763497 | Allstar Kids Behavioral Services, Inc | Counselor | 467 Lake Howell Rd Suite 102, Maitland, FL 32751 | 2020-09-06 |
| 1003428269 | Cmg- New Season- St. Louis Metro Treatment Center | Counselor | 2500 Maitland Center Parkway 250, Maitland, FL 32751 | 2020-08-19 |
| 1821616228 | Katherine Tchir | Anesthesiologist Assistant | 851 Trafalgar Court Suite 200e, Maitland, FL 32751 | 2020-07-12 |
| 1699309518 | Karin Scotchie | Occupational Therapist | 1700 Monroe Rd, Maitland, FL 32751 | 2020-02-29 |
| 1184255929 | Counseling Specialists, Inc. | Counselor | 610 N. Wymore Rd., Suite 110, Maitland, FL 32751 | 2020-01-30 |
| 1427528074 | Auricular Health Center | Clinic/Center | 237 Lookout Place, Maitland, FL 32751 | 2018-11-27 |
| 1710456181 | Yadiel Munoz | Counselor | 5786, 225 S Swoope Ave # 211, Maitland, FL 32751 | 2018-11-15 |
| 1780152678 | Rebecca Hernandez | Case Manager/Care Coordinator | 1000 Winderley Pl Unit 221, Maitland, FL 32751 | 2018-11-08 |
| 1548742901 | David Cromer | Social Worker | 225 S. Swoope Ave #211, Maitland, FL 32751 | 2018-09-02 |
| Find all providers in zip 32751 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942677612 | Nicole Denise Conrad | Physician Assistant | 146 Orange Pl, Maitland, FL 32751-6531 | 2015-08-28 |
| 1609884253 | Reeli Reinu | Physician Assistant | 2600 Lake Lucien Dr Ste 180, Maitland, FL 32751-7235 | 2006-08-03 |
| 1275588063 | Laurie Fashakin | Physician Assistant | 800 N Maitland Ave Ste 202, Maitland, FL 32751-4499 | 2006-05-23 |
| 1578179479 | Omar Daabies | Physician Assistant | 260 Lookout Pl Ste 103, Maitland, FL 32751-4485 | 2020-09-17 |
| 1134730385 | Daniel Hendricks | Physician Assistant | 260 Lookout Pl Ste 103, Maitland, FL 32751-4485 | 2020-08-12 |
| 1164905196 | Alexandra Gabrielle Feuer | Physician Assistant | 151 Southhall Ln Ste 300, Maitland, FL 32751-7172 | 2018-09-14 |
| 1922585496 | Laila Nicole Habib | Physician Assistant | 500 Winderley Pl Ste 115, Maitland, FL 32751-7406 | 2018-07-26 |
| 1912435447 | Khadijah Gaffar | Physician Assistant | 500 Winderley Pl Ste 115, Maitland, FL 32751-7406 | 2017-05-29 |
| 1245788967 | Adriana Haralson | Physician Assistant | 500 Winderley Pl, Suite 115, Maitland, FL 32751-7247 | 2016-09-12 |
| 1922556653 | Sarah Sivinski | Physician Assistant | 260 Lookout Pl, Suite 103, Maitland, FL 32751-4485 | 2016-09-11 |
| Find all providers in MAITLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.