Healthcare Provider Details

I. General information

NPI: 1033460266
Provider Name (Legal Business Name): RONCHELLA HANKERSON B.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RONCHELLA TURNER

II. Dates (important events)

Enumeration Date: 09/27/2012
Last Update Date: 09/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 SOUTH MIAMI AVENUE SUITE 700
MIAMI FL
33130
US

IV. Provider business mailing address

26161 SW 132 PLACE
HOMESTEAD FL
33032
US

V. Phone/Fax

Practice location:
  • Phone: 305-779-9600
  • Fax: 305-779-9600
Mailing address:
  • Phone: 786-222-2354
  • Fax: 786-779-9601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: