Individual
DENISE HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1185 DUNLAWTON AVE STE 102, PORT ORANGE, FL 32127-2906
(386) 760-6601
(386) 222-0769
Mailing address
15280 NW 79TH CT STE 200, MIAMI LAKES, FL 33016-5873
(305) 558-3724
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9114041
FL
Other
Enumeration date
04/05/2021
Last updated
01/16/2026
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