Individual
NICOLE D HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1330 CITIZENS BLVD, SUITE 301, LEESBURG, FL 34748-3959
(352) 728-1252
(352) 728-0079
Mailing address
1330 CITIZENS BLVD, SUITE 301, LEESBURG, FL 34748-3959
(352) 728-1252
(352) 728-0079
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3581
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8AD031
BLUE CROSS/BLUE SHIELD
—
Enumeration date
06/30/2005
Last updated
07/08/2019
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