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

Zachary Alexander Bautista, PA-C

Individual provider Physician Assistant · NPI 1629638176

Zachary Alexander Bautista, PA-C is a Physician Assistant in Gainesville, Florida. Qualified in 2019, 7 years ago. Practices with Florida Clinical Practice Association Inc, a 1,885-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2019
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

1600 SW Archer Rd
Gainesville, FL 32610-6954
Phone: (352) 265-5911
Fax: (352) 265-5606
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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 PA9112449 (FL)

Record details

NPI number1629638176
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 17, 2019
Last updated in NPPESMay 6, 2020
Certification dateMay 6, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Florida Clinical Practice Association Inc — 1885 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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