Healthcare Provider Details

I. General information

NPI: 1053429662
Provider Name (Legal Business Name): CATHERINE M COVINGTON D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5771 ROOSEVELT BLVD BLDG 410
CLEARWATER FL
33760-3407
US

IV. Provider business mailing address

5771 ROOSEVELT BLVD 410
CLEARWATER FL
33760-3407
US

V. Phone/Fax

Practice location:
  • Phone: 314-503-3897
  • Fax:
Mailing address:
  • Phone: 314-503-3897
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number11218
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: