Organization
GSP SURGICAL ASSISTANTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEXIS SOCKWELL PA-C (PRESIDENT)
(941) 914-6610
Entity
Organization
Contact information
Practice address
5682 BENTGRASS DR, UNIT 212, SARASOTA, FL 34235-7643
(941) 914-6610
(941) 866-8121
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
P04000127074
FL
Other
Enumeration date
10/25/2007
Last updated
06/22/2012
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