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

Omar David Longoria, PA-C

Individual provider Physician Assistant · NPI 1205697117

Omar David Longoria, PA-C is a Physician Assistant in Pensacola, Florida. Qualified in 2024, 2 years ago. Practices with West Florida Medical Center Clinic PA, a 109-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

8333 N Davis Hwy
Pensacola, FL 32514-6049
Phone: (850) 474-8386
Fax: (850) 474-8522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9119093 (FL)

Record details

NPI number1205697117
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 17, 2024
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice West Florida Medical Center Clinic Pa — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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