Gary F Pastizzo, PA
Gary F Pastizzo is a Surgical Physician Assistant provider (Physician Assistant) practicing in Trinity, FL, registered in the NPPES registry with NPI 1073506614 since 2005. The credential PA stands for Physician Assistant.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1073506614 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Gary F Pastizzo |
| Credential | PA |
| Sex | Male |
| Practice address | 9332 STATE ROAD 54 STE 405, Trinity, FL, 34655 |
| Phone | 7273758264 |
| Enumeration date | 2005-08-30 |
| Last updated in NPPES | 2024-09-30 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | Secondary | PA9110033 | FL |
| 363AS0400X | Surgical Physician Assistant | Primary | PA9110033 | FL |
| 363A00000X | Physician Assistant | Secondary | 000626 | CT |
PA — Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010626 | Other | CT | CONNECTICARE |
| 2V6674 | Other | CT | HEALTH NET |
| 00420017701 | Other | — | ANTHEM BLUE CROSS |
| 290000626CT02 | Other | — | ANTHEM BLUE CROSS |
| P3501542 | Other | CT | OXFORD |
| 003006269 | Medicaid | CT | — |
Copy-ready billing details
Provider: Gary Pastizzo, PA NPI: 1073506614 Taxonomy: 363AS0400X (Surgical Physician Assistant) Address: 9332 STATE ROAD 54 STE 405, Trinity, FL, 34655
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1740845817 | Rebecca Tae | Individual | Physician Assistant | Trinity, FL |
| 1710712328 | Edmund Latif | Individual | Family Nurse Practitioner | Trinity, FL |
Verify this record
Cross-check NPI 1073506614 against the authoritative CMS record: view Gary F Pastizzo on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-09-30.