Healthcare Provider Details

I. General information

NPI: 1235332354
Provider Name (Legal Business Name): JAMES G HANKERSON PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2007
Last Update Date: 07/29/2020
Certification Date: 07/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2727 W. MARTIN LUTHER KING BLVD. SUITE 150
TAMPA FL
33607-6383
US

IV. Provider business mailing address

PO BOX 864241
ORLANDO FL
32886-4241
US

V. Phone/Fax

Practice location:
  • Phone: 813-885-6666
  • Fax: 913-341-5797
Mailing address:
  • Phone: 800-884-7205
  • Fax: 913-696-7141

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES G HANKERSON
Title or Position: PRESIDENT
Credential: MD
Phone: 813-362-3718