IndividualActive
Gary Perez, PHYSICIAN ASSISTANT
NPI 1154512358 · Physician Assistant · Crestview, FL
Provider details
- NPI number
- 1154512358
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PHYSICIAN ASSISTANT
- Sex
- Male
- Sole proprietor
- No
- License
- PA 9103949 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
550 Redstone Ave W
Suite 370
Crestview, FL 32536-6428
Phone: (850) 682-2209
Fax: (850) 850-6822
Street-level locationGet directions
Mailing address
550 Redstone Ave W
Crestview, FL 32536-6428
Registry dates
- Enumerated
- 2007-08-05
- Last updated
- 2012-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.