GERARDO CRUZ PA-C
NPI 1275518086
Physician Assistant in Fort Walton Beach, FL

Q: What is Gerardo Cruz's NPI number?

The NPI number for Gerardo Cruz is 1275518086. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Q: What is Gerardo Cruz's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Gerardo Cruz was last updated on December 16, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 14, 2005

1005 MAR WALT DR, INTERNAL MEDICINE DEPARTMENT, FORT WALTON BEACH, FL 32547(850) 863-8202(850) 862-6148 Get Directions Write a Review

NPPES record last updated: December 16, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Gerardo Cruz Pa-c NPPES

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

GERARDO CRUZ PA-C (NPI 1275518086) is an individual physician assistant in Fort Walton Beach, Florida, licensed in Florida (PA9101484) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1275518086

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameGERARDO CRUZCredential: PA-C

Location Address1005 MAR WALT DR, INTERNAL MEDICINE DEPARTMENTFort Walton Beach, FL 32547-6707

Mailing Address1005 Mar Walt Dr, Internal Medicine DepartmentFort Walton Beach, FL 32547-6707 · (850) 863-8202 · Fax (850) 862-6148

Phone(850) 863-8202

Fax(850) 862-6148

Sole ProprietorNo

Enumeration DateDecember 14, 2005

Last NPPES UpdateDecember 16, 2009

✔ NPI 1275518086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in FL · PA9101484

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.

1005 MAR WALT DR, Fort Walton Beach, FL 32547

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