Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Raymundo Gamboa Jacinto, PA-C

Individual provider Medical Physician Assistant · NPI 1649712274

Raymundo Gamboa Jacinto, PA-C is a Physician Assistant in St Petersburg, Florida. Qualified in 2016, 10 years ago. Practices with Pediatric Physician Services, Inc, a 192-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Pennsylvania.

Years since qualifying
10
Licensed in
FL, PA
In the registry since
2016
Specialties on file
2
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

501 6th Ave S
St Petersburg, FL 33701
Phone: (727) 767-3051
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1840 South St, Philadelphia, PA 19146-7411 — (215) 893-7246

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9111727 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA058757 (PA)

Record details

NPI number1649712274
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 14, 2016
Last updated in NPPESJanuary 31, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Pediatric Physician Services, Inc. — 192 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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