| Doctor Name: | NICOLE D HANCOCK |
| NPI Number: | 1043217425 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPM |
| License Number: | 1669 |
| Business Practice Address: | 1330 Citizens Blvd Suite 301 Leesburg, FL - 347483959 |
| Business Phone Number: | 3527281252 |
| Business Fax Number: | 3527280079 |
| Mailing Address: | 1330 Citizens Blvd, Suite 301 LEESBURG |
| State: | FL |
| Postal Code: | 347483959 |
| Phone Number: | 3527281252 |
| Fax Number: | 3527280079 |
| NPI Enumeration Date: | 06/30/2005 |
| NPI Last Update Date: | 12/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 1669 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |