Healthcare Provider Details

I. General information

NPI: 1821276676
Provider Name (Legal Business Name): MARCELO N GERJOI PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: MARCELO N GERJOI DC

II. Dates (important events)

Enumeration Date: 02/04/2008
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 BAPTIST WAY STE 4A
PENSACOLA FL
32503-2274
US

IV. Provider business mailing address

PO BOX 732892
DALLAS TX
75373-2892
US

V. Phone/Fax

Practice location:
  • Phone: 448-227-6480
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHIR0080310
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9118797
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA.1436
License Number StateAL
# 4
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: