Individual
MR. JEFFREY ALLEN HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1849 SE DRANSON CIR, PORT ST LUCIE, FL 34952-6627
(772) 380-9400
(772) 380-9499
Mailing address
1849 SE DRANSON CIR, PORT ST LUCIE, FL 34952-6627
(772) 380-9400
(772) 380-9499
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F203050649001
—
FL
Enumeration date
09/24/2007
Last updated
09/24/2007
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