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Individual

DR. MICHAEL P HANCOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
301 THOMAS AVE, FROSTPROOF, FL 33843-9128
(863) 223-2761
Mailing address
301 THOMAS AVE, FROSTPROOF, FL 33843-9128
(863) 223-2761

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME101338
FL
282N00000X
General Acute Care Hospital
023978
GA
282N00000X
General Acute Care Hospital
ME101338
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00237564K
GA
Enumeration date
11/27/2006
Last updated
06/30/2017
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