Max Miranda, PA
Physician Assistant · Lakeland, FL
Max Miranda, PA is a physician assistant with a practice address in Lakeland, Florida, and NPI 1639044050, issued on Oct 7, 2025. Check the license (Florida PA9121197, as entered in NPPES) on the Florida health license search; the Medicare figures below come from public CMS files.
- Name
- Max Miranda
- Credential
- PA
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- PA9121197 FL
Self-reported in NPPES; status is on the state search - Practice location
- 1417 Lakeland Hills Blvd Ste 102, Lakeland, FL 33805
- Phone
- (863) 577-0316
- Enumerated
- Oct 7, 2025
- Record last updated
- Feb 9, 2026
- Medicare enrollment
- Enrolled (PECOS I20260217003970); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 10,257 in Florida → Look up another NPI →
Also registered at 1417 Lakeland Hills Blvd Ste 102
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Alexander Sidor, MDVascular & Interventional Radiology Physician1104315316
Verify Max Miranda in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersFlorida health license search
Search for license PA9121197Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Radiology And Imaging Specialists OF LakelandWinter Haven, FL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Max Miranda among 10,257 physician assistant records in Florida
Max Miranda, PA is one of 10,257 physician assistant records with a practice address in Florida. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2025, is newer than 90% of them.
- NPI issued2025 · 90% of these records are older, 4% newer
- In a Medicare fileYes · 77% of these records are
- In the CMS Doctors and Clinicians fileYes · 57% of these records are
- Graduated2025 · median 2018 among the 5,867 with a school on file
- Record last updated2026 · 37% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
92 physician assistant records list a practice address in Lakeland
They are 92 of the 5,099 NPPES records with a practice address in Lakeland, and 10,257 physician assistant records in Florida.
All 10,257 in Florida → Every provider in Lakeland → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Marolda Bailey-Stultz, PALakeland, FL 338051841210051
- Melissa Butz, PACLakeland, FL 338051720001407
- Kristen Eversole, PALakeland, FL 338051811910243
- Lisa Korin, PALakeland, FL 338051578544045
- Nancy Moody, PALakeland, FL 338051639193899
- Brenda O'Hair, PA-CLakeland, FL 338051386617504
- Brian Palmer, PALakeland, FL 338051447274600
- David Payne, PALakeland, FL 338051174547335
Common questions
What is Max Miranda, PA's NPI number?
Max Miranda, PA's National Provider Identifier (NPI) is 1639044050, issued on Oct 7, 2025. An NPI identifies a provider in billing; it is not a license.
Where is Max Miranda, PA located?
The NPPES record lists a practice address at 1417 Lakeland Hills Blvd Ste 102, Lakeland, FL, 33805. Phone: (863) 577-0316. Providers update this record themselves, so call before visiting.
How can I verify Max Miranda, PA's license?
NPPES lists Florida license number PA9121197, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.