Hawkins, Bradley Brain
Hawkins, Bradley Brain is an individual health care provider with primary practice located at 4435 Highway 90 , Pace FL 32571-2066. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hawkins, Bradley Brain can be contacted via phone (850) 416-5205.Contact Information
Primary practice address
4435 Highway 90
Pace FL 32571-2066
Phone: (850) 416-5205
Fax: (850) 416-5204
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME84417 | Florida |
Profile Details
| NPI number | 1336193143 |
|---|---|
| LBN Legal business name | Hawkins, Bradley Brain |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Apr 1st, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336193143 | NPPES |
| Florida | MEDICAID | 263638700 |
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