MR. LONNIE RAY HARDING


Address: 5129 State Road 674, Suite A, Wimauma, FL 33598-3530
Phone: 8136338489

MR. LONNIE RAY HARDING (NPI# 1154329290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154329290
Entity Type Individual
Full Name MR. LONNIE RAY HARDING
Credential PA-C
Practice Address 5129 State Road 674
Suite A
Wimauma
FL 33598-3530
Practice Telephone 8136338489
Practice Fax Number 8136332669
Mailing Telephone 8136338489
Mailing Fax Number 8136332669
Enumeration Date 2005-07-12
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 363A00000X Physician Assistant PA2166 FL Physician Assistants & Advanced Practice Nursing Providers
X 363AM0700X Physician Assistant
Specialization: Medical
PA2166 FL Physician Assistants & Advanced Practice Nursing Providers
X 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA2166 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5129 STATE ROAD 674
SUITE A
City WIMAUMA
State FL
Zip Code 33598-3530

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275507709 Victoria Ann Nessel Family Medicine 5129 State Road 674, Suite A, Wimauma, FL 33598-3530 2006-02-13

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NPI Name Taxonomy Address Enumeration
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1184934895 Edith Berrien Homehealth Service Home Health 6011 Vel Street, Wimauma, FL 33598 2010-10-15
1962637488 Christina Ann Raymond Mechanotherapist 1078 Chert Rock Trl, Wimauma, FL 33598 2009-05-28
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

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1922609114 Jeannine Castaneda Calderon Physician Assistant 816 Arbor Pointe Ave, Minneola, FL 34715-6052 2020-11-04
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Competitor

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City WIMAUMA
Zip Code 33598

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Dataset Information

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.

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