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Individual

RONALD D. HOPKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
2140 KINGSLEY AVE, SUITE 14, ORANGE PARK, FL 32073-5180
(904) 276-7997
(904) 276-7559
Mailing address
2140 KINGSLEY AVE, SUITE 14, ORANGE PARK, FL 32073-5180
(904) 276-7997
(904) 276-7559

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1914
FL
363AS0400X
Surgical Physician Assistant
PA1914
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
290665100
FL
01
P00234977
RR MEDICARE
FL
Enumeration date
03/03/2006
Last updated
02/25/2010
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