Individual provider Active NPI

Denise Hardy, PA-C

  • Physician Assistant
  • Port Orange, FL
National Provider Identifier
1427637677
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9114041 Issued in FL
Practice address
1185 Dunlawton Ave Ste 102
Port Orange, FL 32127-2906
Phone
(386) 760-6601
Fax
(386) 222-0769
NPI assigned
Apr 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9114041 FL Primary

Addresses

Primary practice location

1185 Dunlawton Ave Ste 102
Port Orange, FL 32127-2906

Mailing address

15280 NW 79TH CT Ste 200
Miami Lakes, FL 33016-5873
Phone (305) 558-3724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210521001508 FL Practitioner - Physician Assistant 5698174795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida ENT Associates IncGroup PAC ID 4587556923, 156 clinicians

Practice addresses (Care Compare)

1185 Dunlawton Ave
Suite 102
Port Orange, FL 32127-2906
Phone (386) 760-6601

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9114041FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida ENT Associates, Inc. CurrentSince Jan 13, 2026 Accepting new patients
Coastal Ear Nose & Throat PA CurrentSince Jan 13, 2026 Accepting new patients

Locations

1920 Don Wickham Dr
Ste 215
Clermont, FL 34711
Phone (352) 394-8808

302 W Central Ave
Lake Wales, FL 33853
Phone (863) 421-4558

15280 NW 79th Ct
Ste 200
Miami Lakes, FL 33016

3 Pine Cone Dr
Ste 105
Palm Coast, FL 32137
Phone (386) 445-8388

1185 Dunlawton Ave
Ste 102
Port Orange, FL 32127
Phone (386) 760-6601

160 E Lake Howard Dr
Winter Haven, FL 33881
Phone (863) 299-1251

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1427637677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15280 NW 79TH CT STE 200",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165873",
            "telephone_number": "305-558-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 DUNLAWTON AVE STE 102",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321272906",
            "telephone_number": "386-760-6601",
            "fax_number": "386-222-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDY",
        "first_name": "DENISE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9114041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

Verify at the official NPI Registry.