Individual
ANASTASIA HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
1887 KINGSLEY AVE STE 1500, ORANGE PARK, FL 32073-4481
(904) 244-3112
Mailing address
PO BOX 44008, JACKSONVILLE, FL 32231-4008
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
OS14264
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020243200
—
FL
Enumeration date
09/16/2013
Last updated
03/17/2018
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