Hancock, Nicole D

Hancock, Nicole D is an individual health care provider with primary practice located at 1330 Citizens Blvd Suite 301, Leesburg FL 34748-3959. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Hancock, Nicole D can be contacted via phone (352) 728-1252.

Contact Information

Primary practice address
1330 Citizens Blvd Suite 301 Leesburg FL 34748-3959
Phone: (352) 728-1252
Fax: (352) 728-0079
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO3581 Florida

Profile Details

NPI number 1043217425
LBN Legal business name Hancock, Nicole D
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Jul 8th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043217425 NPPES
Other 8AD031 BLUE CROSS/BLUE SHIELD

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