Healthcare Provider Details

I. General information

NPI: 1720007586
Provider Name (Legal Business Name): CATHY A. BURNWEIT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 SW 60TH CT SUITE # 201
MIAMI FL
33155-4000
US

IV. Provider business mailing address

3200 SW 60TH CT SUITE # 201
MIAMI FL
33155-4000
US

V. Phone/Fax

Practice location:
  • Phone: 305-662-8320
  • Fax: 305-665-2467
Mailing address:
  • Phone: 305-662-8320
  • Fax: 305-665-2467

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License Number57558
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: