Gary Mousseau, PA-C

Individual Active
NPI 1861593956
Medical Physician Assistant Fort Walton Beach, FL

NPI 1861593956 belongs to Gary Mousseau, PA-C, a medical physician assistant with a practice location in Fort Walton Beach, FL. The NPI was issued on September 25, 2006, and the record was last updated in NPPES on July 30, 2019.

This record hasn't been updated in NPPES since 2019. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X PA9112347 (FL)

Practice location

1005 Mar Walt Drive
Fort Walton Beach, FL 32547-6707
Phone: (850) 863-6600

Local context

Active NPPES records list 48 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 30 of them within 10 miles.

The same primary taxonomy is listed by 2,877 in Florida and 40,084 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Mr. Gary William Mousseau
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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