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MICKEY L BATH PAC
NPI 1053376012
Physician Assistant - Medical in Gainesville, FL

Active since April 20, 2006
1600 SW ARCHER RD, GAINESVILLE, FL 32610(352) 392-1161(352) 392-5127 Get Directions Write a Review

NPPES record last updated: November 29, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mickey L Bath Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICKEY L BATH PAC (NPI 1053376012) is an individual medical provider in Gainesville, Florida, licensed in Florida (PA 0002191) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1053376012
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMICKEY L BATHCredential: PAC
Location Address1600 SW ARCHER RDGainesville, FL 32610-3003
Mailing AddressPo Box 918025Orlando, FL 32891-8025 · (352) 392-1161 · Fax (352) 392-5127
Phone(352) 392-1161
Fax(352) 392-5127
Sole ProprietorNo
Enumeration DateApril 20, 2006
Last NPPES UpdateNovember 29, 2010
✔ NPI 1053376012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PA 0002191
1600 SW ARCHER RD, Gainesville, FL 32610
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Other Identifiers 2

Medicaid002794900FL
Medicare PINDV596ZFL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BAHAREH EBADIFAR KEITH DO
Pediatrics
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-0462
AFRASYAB KHAN
Surgery
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 265-0680
GULSUN ERDAG MD
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 265-9900
DR. ALBERT H. MATTIA D.D.S.
Dentist (Prosthodontics)
1600 SW ARCHER RD, D4-4
GAINESVILLE, FL 32610
Alachua County (352) 273-5801
JOANNA CHAFFIN
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 627-9272
DR. CASEY JUSTIN BEAL MD
Ophthalmology
1600 SW ARCHER RD, BOX 100284
GAINESVILLE, FL 32610
Alachua County (352) 273-8778
WILLIAM CRAIG HICKS CRNA
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-6438
HENRY FONTILLAS PATALINGHUG CRNA
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-6438

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mickey Bath's NPI number?

The NPI number for Mickey Bath is 1053376012. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Mickey Bath located?

Mickey Bath practices at 1600 SW Archer Rd, Gainesville, FL 32610. The listed phone number is (352) 392-1161.

What is Mickey Bath's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Mickey Bath was last updated on November 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.