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