Hankerson, Tony Leon

Hankerson, Tony Leon is an individual health care provider with primary practice located at 200 Avenue F Ne , Winter Haven FL 33881-4131. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Hankerson, Tony Leon can be contacted via phone (863) 297-1800.

Contact Information

Primary practice address
200 Avenue F Ne Winter Haven FL 33881-4131
Phone: (863) 297-1800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1770619009
LBN Legal business name Hankerson, Tony Leon
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
Last updated Aug 17th, 2015 - about 10 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 1770619009 NPPES
Florida MEDICAID 013493600

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