Individual ProviderMicha Kim HawkinsNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address9300 SW 165th St, Palmetto Bay, FL 33157-3449(305) 979-7081(305) 979-7781PECOS EnrollmentBased on the most recent information from CMS, provider Micha Kim Hawkins does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1427461888Provider TypeIndividualFull NameHawkins, Micha KimCredentialNPGenderFemaleSole ProprietorYesEnumeration Date6/3/2014Last Updated11/26/2014Contact InformationPractice LocationPractice Address9300 SW 165th St, Palmetto Bay, FL 33157-3449Phone(305) 979-7081Fax(305) 553-9753Mailing LocationMailing Address9300 SW 165th St, Palmetto Bay, FL 33157-3449Phone(305) 979-7781Fax(305) 553-9753Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseARNP2753102Florida