Provider Demographics
NPI:1114099660
Name:HAWKINS, CARMEL DILLARD (ARNP FNP-BC)
Entity Type:Individual
Prefix:
First Name:CARMEL
Middle Name:DILLARD
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:ARNP FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9961 E COUNTY HIGHWAY 30A
Mailing Address - Street 2:SUITE 5
Mailing Address - City:PANAMA CITY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32413-7282
Mailing Address - Country:US
Mailing Address - Phone:850-231-9286
Mailing Address - Fax:850-231-9287
Practice Address - Street 1:9961 E COUNTY HIGHWAY 30A
Practice Address - Street 2:SUITE 5
Practice Address - City:PANAMA CITY BEACH
Practice Address - State:FL
Practice Address - Zip Code:32413-7282
Practice Address - Country:US
Practice Address - Phone:850-231-9286
Practice Address - Fax:850-231-9287
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9183793363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL305402100Medicaid
FLU0393Medicare PIN