Provider Demographics
NPI:1174532154
Name:HAWK, STEVEN EUGENE (MD)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:EUGENE
Last Name:HAWK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10250 SE 167TH PLACE RD UNIT 5
Mailing Address - Street 2:
Mailing Address - City:SUMMERFIELD
Mailing Address - State:FL
Mailing Address - Zip Code:34491-8682
Mailing Address - Country:US
Mailing Address - Phone:352-307-9925
Mailing Address - Fax:352-307-8442
Practice Address - Street 1:1801 US HIGHWAY 441
Practice Address - Street 2:BUILDING 100
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-2545
Practice Address - Country:US
Practice Address - Phone:352-460-4004
Practice Address - Fax:352-460-4003
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME37647207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL021375200Medicaid
FLAH1123962OtherDEA