Individual
LAWRENCE EDWARD HOENING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
5045 SOUTEL DR STE 12, JACKSONVILLE, FL 32208-1885
(190) 446-8794
(904) 468-7944
Mailing address
5045 SOUTEL DR STE 12, JACKSONVILLE, FL 32208-1885
(904) 446-8794
(904) 396-6528
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA91031
FL
363AM0700X
Medical Physician Assistant
Primary
PA9103141
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292818300
—
FL
Enumeration date
07/14/2006
Last updated
02/23/2023
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