Individual
THOMAS A HAWK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2154 DUCK SLOUGH BLVD, TRINITY, FL 34655-5073
(727) 937-6020
(866) 665-2702
Mailing address
2154 DUCK SLOUGH BLVD, TRINITY, FL 34655-5073
(727) 937-6020
(866) 665-2702
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01039631
IN
207L00000X
Anesthesiology Physician
Primary
ME110447
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100379620
—
IN
Enumeration date
04/07/2006
Last updated
01/10/2012
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