IndividualActive
Leonard Hawkins, PA-C
NPI 1962530402 · Medical Physician Assistant · Lake Wales, FL
Provider details
- NPI number
- 1962530402
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA2840 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
455 Emerald Ave
Lake Wales, FL 33853-4716
Phone: (863) 676-0014
Fax: (863) 676-0900
Street-level locationGet directions
Mailing address
525 Little Lake Ct
Winter Haven, FL 33884-3083
Registry dates
- Enumerated
- 2007-02-28
- Last updated
- 2013-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.