Charles Isaac Hauk, PA-C
Physician Assistant in Tampa, FL. Individual provider (NPI-1).
NPI number1033367693
StatusActive
Last updated in NPPESJul 8, 2025
Details
- NPI
- 1033367693
- Entity type
- Individual (NPI-1)
- Name
- Charles Isaac Hauk
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 8, 2008
- Certification date
- Jul 8, 2025
- Last updated
- Jul 8, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA9104620 | FL | Yes |
Practice location
12902 Usf Magnolia DrTampa, FL 33612-9416
Phone 813-745-7365 · Fax 813-449-8618
Mailing address
Po Box 198441Atlanta, GA 30384-8441
Phone 813-745-7365 · Fax 813-449-8618
Other practice locations
12220 Bruce B Downs Blvd
Tamp, FL 33612
Tamp, FL 33612
Phone 813-631-5001 · Fax 813-631-5098
Is something wrong?
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