Individual
LEONA TRENT HAMRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1615 SUMMIT WAY, DUNEDIN, FL 34698-4752
(727) 244-6411
Mailing address
1615 SUMMIT WAY, DUNEDIN, FL 34698-4752
(727) 244-6411
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9101855
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E7667X
PTAN
—
01
—
PA9101855
LICENSE
—
Enumeration date
07/05/2007
Last updated
08/14/2015
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