| Mr Gavin Keith Wilson, PA | |
|
1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | |
| (772) 398-3800 | |
| Not Available |
| Full Name | Mr Gavin Keith Wilson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1800 Se Tiffany Ave, Port St Lucie, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982643243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9102199 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Gavin Keith Wilson, PA 1898 Nw Azalea St, Stuart, FL 34994-9202 Ph: (772) 692-4577 | Mr Gavin Keith Wilson, PA 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 Ph: (772) 398-3800 |
Sarah Gardi Garcia, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10000 Sw Innovation Way, Port St Lucie, FL 34987 Phone: 772-345-8100 | |
Ariella Jeanine Garmizo, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8980 S Us Highway 1 Ste 103, Port St Lucie, FL 34952 Phone: 561-406-9566 | |
Lilian Daniela Mairena, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 7710 S Us Highway 1, Port St Lucie, FL 34952 Phone: 772-335-5300 Fax: 772-200-2131 | |
Mr. Adam D. Axler, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1800 Se Tiffany Ave, Port St Lucie, FL 34952 Phone: 772-335-4000 | |
Megan L James, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 9077 S Federal Hwy, Port St Lucie, FL 34952 Phone: 772-335-4770 Fax: 772-338-4133 | |
Alyssa Seldes, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10050 Sw Innovation Way, Port St Lucie, FL 34987 Phone: 772-344-3811 Fax: 772-335-2422 | |
Mrs. Kelli Lugo, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7710 S Us Highway 1, Port St Lucie, FL 34952 Phone: 772-446-7209 Fax: 772-200-2131 |