Provider Demographics
NPI:1447508460
Name:HANKINS, GARY C (MD)
Entity type:Individual
Prefix:DR
First Name:GARY
Middle Name:C
Last Name:HANKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3326 NW 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-2408
Mailing Address - Country:US
Mailing Address - Phone:352-262-9038
Mailing Address - Fax:
Practice Address - Street 1:3326 NW 5TH AVE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-2408
Practice Address - Country:US
Practice Address - Phone:352-262-9038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-23
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1130142084P0800X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL14R0SOtherBLUE CROSS FLORIDA
FL007139400Medicaid
FLP01455615OtherRAILROAD MEDICARE
FL14R0SOtherBLUE CROSS FLORIDA
FL01192YMedicare PIN