PEDRO ANGEL GUTIERREZ PHYSICIAN ASSISTANT
NPI 1972049864
Physician Assistant in Jacksonville, FL

Active since January 16, 2017
12187 BEACH BLVD STE 10, JACKSONVILLE, FL 32246(904) 619-8687 Get Directions Write a Review

NPPES record last updated: January 16, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pedro Angel Gutierrez Physician Assistant NPPES

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

PEDRO ANGEL GUTIERREZ PHYSICIAN ASSISTANT (NPI 1972049864) is an individual physician assistant in Jacksonville, Florida and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1972049864
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NamePEDRO ANGEL GUTIERREZCredential: PHYSICIAN ASSISTANT
Location Address12187 BEACH BLVD STE 10Jacksonville, FL 32246-0620
Mailing Address12187 Beach Blvd Ste 10Jacksonville, FL 32246-0620 · (904) 619-8687
Sole ProprietorNo
Enumeration DateJanuary 16, 2017
NPI 1972049864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
12187 BEACH BLVD STE 10, Jacksonville, FL 32246

Other Providers at the Same Location NPPES

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

Clinic/Center (Primary Care)
12187 BEACH BLVD STE 10
JACKSONVILLE, FL 32246

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 Pedro Gutierrez's NPI number?

The NPI number for Pedro Gutierrez is 1972049864. It was assigned to this individual provider in the NPPES registry on January 16, 2017.

Where is Pedro Gutierrez located?

Pedro Gutierrez practices at 12187 Beach Blvd Ste 10, Jacksonville, FL 32246. The listed phone number is (904) 619-8687.

What is Pedro Gutierrez's specialty?

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

When was this NPI record last updated?

The NPPES record for Pedro Gutierrez was last updated on January 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.