Individual provider · Type 1 NPI

Gavin Keith Wilson, PA

Physician Assistant · Port St. Lucie, FL

NPI number 1982643243 Active

Practice location

1800 SE Tiffany Ave
Port St. Lucie, FL 34952-7521

Call (772) 398-3800 Map

Mailing address

1898 NW Azalea St
Stuart, FL 34994-9202

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9102199 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1982643243

Gavin Keith Wilson, PA's National Provider Identifier is 1982643243, issued on Jun 5, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Port St. Lucie, FL. The record was last updated on Jul 13, 2026.