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NPI Code Detail

MEDICARE: CASSONDRA YVETTE HAWKINS

MEDICARE: CASSONDRA YVETTE HAWKINS
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
1363LF0000XFamily Nurse Practitioner95014009CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750916433
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSONDRA YVETTE HAWKINS
Provider Business Mailing Address
First Line : 3956 SUNSET COVE DR
Second Line :
City : PORT ORANGE
State : FL
Zip : 32129-1918
Country : US
Telephone Number : 386-871-3855
Fax Number :
Provider Business Practice Location Address
First Line : 400 N TAMPA ST STE 1550
Second Line :
City : TAMPA
State : FL
Zip : 33602-4737
Country : US
Telephone Number : 386-392-7341
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2020
Last Update Date : 06/05/2026

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Directions to “ CASSONDRA YVETTE HAWKINS ” Practice Location

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