Healthcare Provider Details

I. General information

NPI: 1275134819
Provider Name (Legal Business Name): LUCIA HAMILTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2020
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4052 COMMERCIAL WAY
SPRING HILL FL
34606-2398
US

IV. Provider business mailing address

4052 COMMERCIAL WAY
SPRING HILL FL
34606-2398
US

V. Phone/Fax

Practice location:
  • Phone: 352-610-4812
  • Fax:
Mailing address:
  • Phone: 352-610-4812
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number11007547
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: