Healthcare Provider Details

I. General information

NPI: 1144787938
Provider Name (Legal Business Name): KATHRYN HANKINS PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2019
Last Update Date: 07/31/2020
Certification Date: 07/31/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 N. ORANGE AVE. SUITE 600
ORLANDO FL
32801
US

IV. Provider business mailing address

801 N. ORANGE AVE. SUITE 600
ORLANDO FL
32801
US

V. Phone/Fax

Practice location:
  • Phone: 407-841-2100
  • Fax: 407-841-5705
Mailing address:
  • Phone: 407-841-2100
  • Fax: 407-841-5705

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: