Individual
MR. JAMES TYLER HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
108 KINGSLEY AVE, ORANGE PARK, FL 32073-5685
(904) 264-3111
Mailing address
108 KINGSLEY AVE, ORANGE PARK, FL 32073-5685
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9107644
FL
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
PA9107644
FL
Other
Enumeration date
11/08/2013
Last updated
12/28/2022
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