MEDICARE: DR. GEORGE HOSKINS MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	SW 781	FL

General Provider Information

NPI Number	:	1417929258
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEORGE HOSKINS MSW

Provider Business Mailing Address
First Line	:	2254 GABRIEL DR
Second Line	:
City	:	ORANGE PARK
State	:	FL
Zip	:	32073-5214
Country	:	US
Telephone Number	:	904-264-4372
Fax Number	:	904-264-4372

Provider Business Practice Location Address
First Line	:	2254 GABRIEL DR
Second Line	:
City	:	ORANGE PARK
State	:	FL
Zip	:	32073-5214
Country	:	US
Telephone Number	:	904-264-4372
Fax Number	:	904-264-4372

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2006
Last Update Date	:	07/08/2007

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