Individual
DR. VICENTA MARIBEL HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
701 6TH ST S, ST PETERSBURG, FL 33701-4814
(727) 823-1234
Mailing address
1530 CORNERSTONE BLVD, SUITE 200, DAYTONA, FL 32117
(386) 274-7800
(386) 274-7801
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS9189
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
212699
AMERIGROUP
FL
05
—
272885100
—
FL
01
—
29520
BLUE CROSS OF FLORIDA
FL
Enumeration date
06/25/2006
Last updated
10/10/2013
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