MR. Gary William Mousseau, PA-C is a medical physician assistant in Fort Walton Beach, FL. MR. Gary William Mousseau, PA-C NPI is 1861593956. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1005 MAR WALT DRIVE
FORT WALTON BEACH, FL
ZIP 32547-707
Phone: (850) 863-6600
Fax: (850) 862-0977
The NPI 1861593956 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 9/25/2006 and was last updated on 7/30/2019.