| Mia Rose Hardack, PA | |
|
151 Southhall Ln Ste 300, Maitland, FL 32751-7172 | |
| (407) 875-2080 | |
| Not Available |
| Full Name | Mia Rose Hardack |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 151 Southhall Ln Ste 300, Maitland, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538717806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Leavitt Medical Associates Of Florida Inc | 4688579311 | 172 |
| Mailing Address | Practice Location Address |
|---|---|
| Mia Rose Hardack, PA 151 Southhall Ln Ste 300, Maitland, FL 32751-7172 Ph: () - | Mia Rose Hardack, PA 151 Southhall Ln Ste 300, Maitland, FL 32751-7172 Ph: (407) 875-2080 |
Alora Oliver, Physician Assistant Medicare: Medicare Enrolled Practice Location: 500 Winderley Pl, Suite 115, Maitland, FL 32751 Phone: 407-875-0555 | |
Ms. Meghan Elizabeth Muccigrosso, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 260 Lookout Pl, Suite 103, Maitland, FL 32751 Phone: 321-594-5523 Fax: 407-333-2140 | |
Amanda Irene Main, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 500 Winderley Pl Ste 115, Maitland, FL 32751 Phone: 407-875-0555 | |
Nicole A Campos, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 500 Winderley Pl, Suite 115, Maitland, FL 32751 Phone: 407-875-0555 | |
Valentina Gonzalez Moncada, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 500 Winderley Pl, Maitland, FL 32751 Phone: 407-875-0555 | |
Marc Amos Thernelus, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2600 Westhall Ln, Maitland, FL 32751 Phone: 407-200-2273 | |
Mr. Larry Todd Wilson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2600 Westhall Ln, Maitland, FL 32751 Phone: 407-200-2300 Fax: 407-303-0580 |