Provider Demographics
NPI:1205022423
Name:HAWKINS, CHERYL ANN (RCS)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:ANN
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:RCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5118 RUMSON RD
Mailing Address - Street 2:
Mailing Address - City:NORTH PORT
Mailing Address - State:FL
Mailing Address - Zip Code:34288-2312
Mailing Address - Country:US
Mailing Address - Phone:941-429-2558
Mailing Address - Fax:
Practice Address - Street 1:5118 RUMSON RD
Practice Address - Street 2:
Practice Address - City:NORTH PORT
Practice Address - State:FL
Practice Address - Zip Code:34288-2312
Practice Address - Country:US
Practice Address - Phone:941-429-2558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-20
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL00011367246XS1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonography