Provider Demographics
NPI:1962530402
Name:HAWKINS, LEONARD E (PA-C)
Entity type:Individual
Prefix:MR
First Name:LEONARD
Middle Name:E
Last Name:HAWKINS
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:525 LITTLE LAKE CT
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33884-3083
Mailing Address - Country:US
Mailing Address - Phone:863-326-1472
Mailing Address - Fax:863-422-7393
Practice Address - Street 1:455 EMERALD AVE
Practice Address - Street 2:
Practice Address - City:LAKE WALES
Practice Address - State:FL
Practice Address - Zip Code:33853-4716
Practice Address - Country:US
Practice Address - Phone:863-676-0014
Practice Address - Fax:863-676-0900
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2013-07-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPA2840363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical