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

Pedro Angel Gutierrez, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1972049864

Pedro Angel Gutierrez, PHYSICIANASSISTANT is a Physician Assistant in Jacksonville, Florida. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

12187 Beach Blvd Ste 10
Jacksonville, FL 32246-0620
Phone: (904) 619-8687
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1972049864
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJanuary 16, 2017
Last updated in NPPESJanuary 16, 2017

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