Provider Demographics
NPI:1295900132
Name:HAWVER, ROBERT EARL (PA)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:EARL
Last Name:HAWVER
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:3750 NW 84TH WAY
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-5253
Mailing Address - Country:US
Mailing Address - Phone:518-331-6782
Mailing Address - Fax:
Practice Address - Street 1:10794 PINES BLVD STE 205
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33026-3920
Practice Address - Country:US
Practice Address - Phone:954-538-8543
Practice Address - Fax:954-431-8153
Is Sole Proprietor?:No
Enumeration Date:2008-04-22
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL008436363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical