Hawkins Family Medicine Llc | |
3120 Southride Ln Bonifay FL 32425-3325 | |
(850) 547-4440 | |
(850) 547-4441 |
Full Name | Hawkins Family Medicine Llc |
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Speciality | Family Medicine |
Location | 3120 Southride Ln, Bonifay, Florida |
Authorized Official Name and Position | Patrick Luke Hawkins (OWNER) |
Authorized Official Contact | 8505474440 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hawkins Family Medicine Llc 3120 Southride Ln Bonifay FL 32425-3325 Ph: (850) 547-4440 | Hawkins Family Medicine Llc 3120 Southride Ln Bonifay FL 32425-3325 Ph: (850) 547-4440 |
NPI Number | 1952680464 |
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Provider Enumeration Date | 08/15/2011 |
Last Update Date | 03/14/2017 |
Medicare PECOS PAC ID | 8729259817 |
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Medicare Enrollment ID | O20110921000571 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952680464 | NPI | - | NPPES |
003587000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME105126 (Florida) | Primary |
Provider Name | Michael D Kennedy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235386004 PECOS PAC ID: 6800066119 Enrollment ID: I20110824000311 |
Provider Name | Patrick L Hawkins |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558538868 PECOS PAC ID: 3971774639 Enrollment ID: I20110929000372 |
Provider Name | Meaghan S Taylor |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710243548 PECOS PAC ID: 5799947339 Enrollment ID: I20120427000320 |
Provider Name | Jessica Register Ludwig |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346589629 PECOS PAC ID: 2365669884 Enrollment ID: I20150508002083 |
Provider Name | Augusta Leana Anderson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639708209 PECOS PAC ID: 4981002797 Enrollment ID: I20211008001502 |
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