Provider Demographics
NPI:1588200679
Name:HAWKINS, TAMEKA DEVANDRA (APRN)
Entity Type:Individual
Prefix:
First Name:TAMEKA
Middle Name:DEVANDRA
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:TAMEKA
Other - Middle Name:DEVANDRA
Other - Last Name:COFFIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN
Mailing Address - Street 1:5151 WINTER GARDEN VINELAND RD STE 208
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-6098
Mailing Address - Country:US
Mailing Address - Phone:407-612-4007
Mailing Address - Fax:407-612-4017
Practice Address - Street 1:5151 WINTER GARDEN VINELAND RD STE 207
Practice Address - Street 2:
Practice Address - City:WINDERMERE
Practice Address - State:FL
Practice Address - Zip Code:34786-6098
Practice Address - Country:US
Practice Address - Phone:407-612-4007
Practice Address - Fax:407-612-4017
Is Sole Proprietor?:No
Enumeration Date:2019-11-23
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11004222363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily