MR. CRUZ EDGARDO PAGAN DELGADO (NPI# 1528105285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528105285 |
| Entity Type | Individual |
| Full Name | MR. CRUZ EDGARDO PAGAN DELGADO |
| Other Name | MR. CRUZ EDGARDO PAGAN |
| Credential | MD |
| Practice Address |
2309 E 15th St Panama City FL 32405-6345 |
| Mailing Address |
1779 Torulusa Ct Tallahassee FL 32308-5556 |
| Practice Telephone | 8507475272 |
| Practice Fax Number | 8507475274 |
| Mailing Telephone | 7873666636 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2019-12-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ACN486 | FL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 10578 | PR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | MCS | MCS110578 | 01 |
| PR | SSS | SSS82828 | 01 |
| FL | MEDICARE PTAN | HK272Z | 01 |
| Street Address |
2309 E 15TH ST |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32405-6345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487627782 | Maricel Tejeda-oyola | General Practice | 2309 E 15th St, Panama City, FL 32405-6345 | 2006-02-08 |
| 1184273047 | Michael Thad Owens | Nurse Practitioner | 2309 E 15th St, Panama City, FL 32405-6345 | 2019-09-04 |
| 1619520855 | Charles Flowers | Pharmacist | 2309 E 15th St, Panama City, FL 32405-6345 | 2019-07-17 |
| 1336704196 | Pancare of Florida, Inc | Pharmacy | 2309 E 15th St, Panama City, FL 32405-6345 | 2019-05-07 |
| 1922571066 | Jonathan Almand | Physician Assistant | 2309 E 15th St, Panama City, FL 32405-6345 | 2019-01-10 |
| 1679000814 | Dominique Jackson | Nurse Practitioner | 2309 E 15th St, Panama City, FL 32405-6345 | 2017-05-18 |
| 1982017604 | Tabitha Nieto | Social Worker | 2309 E 15th St, Panama City, FL 32405-6345 | 2014-06-10 |
| 1598022782 | Rhiannon Melissa Kennedy | Nurse Practitioner | 2309 E 15th St, Panama City, FL 32405-6345 | 2012-04-12 |
| 1164462628 | Rosa I Bernier | Emergency Medicine | 2309 E 15th St, Panama City, FL 32405-6345 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962136 | Kimberlea Fox | Behavioral Analyst | 4750 Collegiate Drive, Technology Building 157, Panama City, FL 32405 | 2020-08-14 |
| 1598325714 | Covenant Home Health Care, LLC | Home Health | 107 W. 19th Street, Panama City, FL 32405 | 2019-06-19 |
| 1467921403 | Amy Hancock | Counselor | 1212 W. 19th St., Panama City, FL 32405 | 2018-11-20 |
| 1063991917 | Patricia Kagendo Mutunga | Day Training, Developmentally Disabled Services | 2813 Fairmont Dr, Panama City, FL 32405 | 2018-08-11 |
| 1871087882 | Southeastern Dermatology Group Pa | Pharmacy | 2505 Harrison Ave Ste A, Panama City, FL 32405 | 2018-06-22 |
| 1346733615 | Jessica Nicole Graham | Nurse Practitioner | 2507 Harrison Ave Unit 101, Panama City, FL 32405 | 2018-06-12 |
| 1437658424 | Coastal Mobility Transportation, LLC | Non-emergency Medical Transport (VAN) | 203 Forest Park Circle, Panama City, FL 32405 | 2018-02-06 |
| 1003314915 | The Anti-aging Clinic of Northwest Florida | Obstetrics & Gynecology | 3019 Osprey Cir, Panama City, FL 32405 | 2018-01-25 |
| 1255848487 | Sarah Theriot | Social Worker | 700 W 23rd St Bldg H, Panama City, FL 32405 | 2018-01-09 |
| 1336686054 | Angela Leake | Registered Nurse | 449 W 23 St, Panama City, FL 32405 | 2017-01-20 |
| Find all providers in zip 32405 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609493311 | Jessica Deanne Yentz | Family Medicine | 235 Callaway Chase Ln, Panama City, FL 32404-6189 | 2020-06-29 |
| 1063031763 | Jeannie Farris | Family Medicine | 819 Forestdale Ave, Panama City, FL 32401-5130 | 2020-04-13 |
| 1245732239 | Michele Greene Vuolo | Family Medicine | 7409 Skinner Rd, Panama City, FL 32404-9113 | 2018-03-06 |
| 1245414523 | Ordonez & Dolar Medical Group LLC | Family Medicine | 1109 Harrison Ave, Panama City, FL 32401-2430 | 2007-12-22 |
| 1801940549 | Primecare of Nw Fl | Family Medicine | 625 W Baldwin Rd, Ste C, Panama City, FL 32405 | 2007-01-22 |
| 1760531149 | Joseph Sbarra | Family Medicine | 329 E 34th Street, Panama City, FL 32405-4202 | 2007-01-09 |
| 1720145881 | Bruce Josten | Family Medicine | 2622 Jenks Ave, Panama City, FL 32405-4311 | 2007-01-01 |
| 1952473308 | Robert Allen Frick | Family Medicine | 325th Medical Group 340 Magnolia Circle, Tyndall Afb, Panama City, FL 32403 | 2006-11-14 |
| 1053405225 | Saul A Verazain | Family Medicine | 2306 Martin Luther King Jr Blvd, Panama City, FL 32405-4404 | 2006-10-03 |
| 1891887600 | Keith M Banton Md Pa | Family Medicine | 3230 E 15th St, Unit B, Panama City, FL 32405-7423 | 2006-09-29 |
| Find all providers in PANAMA CITY | ||||
| City | PANAMA CITY |
| Zip Code | 32405 |
Please comment or provide details below to improve the information on MR. CRUZ EDGARDO PAGAN DELGADO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.