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

Mickey L Bath, PAC

Individual provider Medical Physician Assistant · NPI 1053376012

Mickey L Bath, PAC is a Medical Physician Assistant in Gainesville, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone: (352) 392-1161
Fax: (352) 392-5127
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA 0002191 (FL)

Record details

NPI number1053376012
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedApril 20, 2006
Last updated in NPPESNovember 29, 2010
Mailing addressPo Box 918025, Orlando, FL 32891-8025

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