MEDICARE: MR. CRUZ EDGARDO PAGAN DELGADO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	ACN486	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	HK272Z	OTHER	FL	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528105285
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CRUZ EDGARDO PAGAN DELGADO MD

Provider Business Mailing Address
First Line	:	403 E 11TH ST
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32401-3409
Country	:	US
Telephone Number	:	850-747-5599
Fax Number	:

Provider Business Practice Location Address
First Line	:	11033 NW STATE ROAD 20
Second Line	:
City	:	BRISTOL
State	:	FL
Zip	:	32321-6406
Country	:	US
Telephone Number	:	850-643-1155
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2007
Last Update Date	:	04/10/2026

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Directions to “ MR. CRUZ EDGARDO PAGAN DELGADO MD” Practice Location

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