Mousseau, Gary William

Mousseau, Gary William is an individual health care provider with primary practice located at 1005 Mar Walt Drive , Fort Walton Beach FL 32547-6707. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Mousseau, Gary William can be contacted via phone (850) 863-6600.

Contact Information

Primary practice address
1005 Mar Walt Drive Fort Walton Beach FL 32547-6707
Phone: (850) 863-6600
Fax: (850) 862-0977
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9112347 Florida

Profile Details

NPI number 1861593956
LBN Legal business name Mousseau, Gary William
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jul 30th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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