MEDICARE: DR. CATHERINE LYNN COWART M.D.

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	207VE0102X	Reproductive Endocrinology Physician	ME69677	FL

General Provider Information

NPI Number	:	1457314205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CATHERINE LYNN COWART M.D.

Provider Business Mailing Address
First Line	:	2919 W SWANN AVE STE 307
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-4051
Country	:	US
Telephone Number	:	813-872-0018
Fax Number	:	813-876-1149

Provider Business Practice Location Address
First Line	:	2919 W SWANN AVE STE 307
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-4051
Country	:	US
Telephone Number	:	813-872-0018
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2006
Last Update Date	:	09/03/2008

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