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Search › Florida › 103K00000X

Ricky Hawks

NPI 1134788904 · on the registry since 2019 · sole proprietor

Practice

Address
12315 Lake Underhill Rd
Orlando, FL 32828
Phone
(407) 964-1152
Organisation at this address
Exquisite Dermatology Llc
Camen Behavioral Services, Llc
Santiago E. Martinez, M.D., Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
77

Registry record

Primary taxonomy
103K00000X
103K00000X
Also registered as
103K00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-02-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida