Individual
MR. ALEXIS TAQWAN SOCKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6050 CATTLERIDGE BLVD, STE 201, SARASOTA, FL 34232-6014
(941) 365-0655
(941) 366-8043
Mailing address
PO BOX 50922, SARASOTA, FL 34232-0307
(941) 914-6610
(941) 866-8121
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9101772
FL
Other
Enumeration date
12/03/2005
Last updated
02/20/2013
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