Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cimaron R Blalock, PAC

Individual provider Surgical Physician Assistant · NPI 1699907527

Cimaron R Blalock, PAC is a Surgical Physician Assistant in Gainesville, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2009
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone: (352) 273-5422
Fax: (352) 273-5927
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 975 East Third Street, Chattanooga, TN 37403 — (423) 778-5661

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9105054 (FL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA9105054 (FL)

Record details

NPI number1699907527
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedAugust 11, 2009
Last updated in NPPESAugust 30, 2021
Certification dateAugust 30, 2021
Mailing address1309 Northgate Circle, Hixson, TN 37343

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