Individual
CARLA HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1132 FOXFORREST CIR, APOPKA, FL 32712-2335
(901) 283-2150
Mailing address
1132 FOX FRST, APOPKA, FL 32712-2335
(901) 283-2150
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9526402
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
04/28/2020
Last updated
04/29/2020
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