Provider Demographics
NPI:1720034309
Name:HAWKINS, HILARY N (MD)
Entity Type:Individual
Prefix:DR
First Name:HILARY
Middle Name:N
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:891 OUTER RD STE A
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32814-6605
Mailing Address - Country:US
Mailing Address - Phone:407-895-4737
Mailing Address - Fax:321-203-4610
Practice Address - Street 1:891 OUTER RD STE A
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32814-6605
Practice Address - Country:US
Practice Address - Phone:407-895-4737
Practice Address - Fax:321-203-4610
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-25
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME128583207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5905254Medicaid
NC2059017Medicare PIN
NC5905254Medicaid