Leonard E Hawkins, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA2840 Issued in FL

Practice address

455 Emerald Ave
Lake Wales, FL 33853-4716

Phone

(863) 676-0014

Fax

(863) 676-0900

NPI assigned

Feb 28, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374192000000",
    "number": "1962530402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 LITTLE LAKE CT",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338843083",
            "telephone_number": "863-326-1472",
            "fax_number": "863-422-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 EMERALD AVE",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534716",
            "telephone_number": "863-676-0014",
            "fax_number": "863-676-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "LEONARD",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2013-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA2840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Harris Medlock
• Joy Harris
• Lane Winslor Harris Jr.
• Merrill Ann Hart, PA-C
• Andrei Hastings, MD
• Heart & Vascular PLC
• Heart to Heart Group , LLC
• Heartland Pediatrics of Lake Wales, LLC
• Heartland Pediatrics of Lake Wales, P.a.
• Heartnvascular

• Medical Physician Assistant in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.