MEDICARE: CATHERINE LARNED MD & ASSOCIATES PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)	ME0071153	FL

General Provider Information

NPI Number	:	1316136948
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CATHERINE LARNED MD & ASSOCIATES PA

Provider Business Mailing Address
First Line	:	4707 PINE ISLAND RD NW
Second Line	:
City	:	MATLACHA
State	:	FL
Zip	:	33993-0281
Country	:	US
Telephone Number	:	239-283-0784
Fax Number	:	239-283-0735

Provider Business Practice Location Address
First Line	:	4707 PINE ISLAND RD NW
Second Line	:
City	:	MATLACHA
State	:	FL
Zip	:	33993-9710
Country	:	US
Telephone Number	:	239-283-0784
Fax Number	:	239-283-0735

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CATHERINE C LARNED
Credential	:	M.D.
Telephone Number	:	239-283-0784

Provider Enumeration Date	:	10/19/2007
Last Update Date	:	04/29/2014

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