NPI 1003687641

Alexis Auen Gates, PA

Practitioner Physician Assistant Fort Walton Beach, FL

Practice location

Address: 1034 Mar Walt Dr, Fort Walton Beach, FL 32547-6639
Phone: (850) 863-2153
Fax: (850) 809-4312

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1003687641
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jan 2024
Record last updated: 11 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.