Healthcare Provider Details

I. General information

NPI: 1588959019
Provider Name (Legal Business Name): SARAH C CATTANEO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARAH C GODWIN MD

II. Dates (important events)

Enumeration Date: 06/13/2011
Last Update Date: 06/11/2020
Certification Date: 06/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13201 BRUCE B DOWNS BLVD
TAMPA FL
33612-3805
US

IV. Provider business mailing address

3215 W MARLIN AVE
TAMPA FL
33611-3707
US

V. Phone/Fax

Practice location:
  • Phone: 813-974-7537
  • Fax:
Mailing address:
  • Phone: 484-433-9365
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License Number30482
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0101252355
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: