ALEXIS TAQWAN SOCKWELL

SARASOTA, FL
NPI1023092913
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: FL  pa9101772)
Enumeration Date2005-12-03
Last Update Date2013-02-20
Business Address
Mr. ALEXIS TAQWAN SOCKWELL pa-c
6050 CATTLERIDGE BLVD STE 201
SARASOTA, FL 34232-6014
Phone number: 941-365-0655
Mailing Address
Mr. ALEXIS TAQWAN SOCKWELL pa-c
PO BOX 50922
SARASOTA, FL 34232-0307
Phone number: 941-914-6610
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