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NPI Code Detail

MEDICARE: MR. ROBERT M HAWKES PA-C

MEDICARE: MR. ROBERT M HAWKES PA-C
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
1363A00000XPhysician AssistantPA9105521FL
2363A00000XPhysician AssistantPA001216ME

General Provider Information

NPI Number : 1720376569
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROBERT M HAWKES PA-C
Provider Business Mailing Address
First Line : 3650 COLONIAL CT
Second Line :
City : FORT MYERS
State : FL
Zip : 33913-6636
Country : US
Telephone Number : 239-274-1024
Fax Number :
Provider Business Practice Location Address
First Line : 3650 COLONIAL CT
Second Line :
City : FORT MYERS
State : FL
Zip : 33913-6636
Country : US
Telephone Number : 239-274-1024
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2011
Last Update Date : 07/14/2011

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Directions to “ MR. ROBERT M HAWKES PA-C” Practice Location

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