Gerardo Cruz, PA-C Valid NPI
Individual provider · Physician Assistant · Fort Walton Beach, FL
- NPI
- 1275518086
- Type
- Individual (Type 1)
- Primary specialty
- Physician Assistant
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363A00000X
- License number
- PA9101484 (FL)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2005-12-14
- Last updated
- 2009-12-16
Practice location
1005 Mar Walt Dr, Internal Medicine Department
Fort Walton Beach, FL 32547-6707
(850) 863-8202