Healthcare Provider Details

I. General information

NPI: 1720435019
Provider Name (Legal Business Name): CATHERINE MARIE HAYS D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2016
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4820 5TH AVE N
ST PETERSBURG FL
33713-7218
US

IV. Provider business mailing address

4820 5TH AVE N
ST PETERSBURG FL
33713-7218
US

V. Phone/Fax

Practice location:
  • Phone: 727-321-6768
  • Fax: 727-327-8741
Mailing address:
  • Phone: 727-321-6768
  • Fax: 727-327-8741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number3422
License Number StateVI
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS16047
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: