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NPI Code Detail

MEDICARE: DR. CATHERINE V NORTHROP MD

MEDICARE: DR. CATHERINE V NORTHROP MD
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
1207P00000XEmergency Medicine PhysicianME61616FL
2207P00000XEmergency Medicine Physician0101252723VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
112444193OTHERCAQH

General Provider Information

NPI Number : 1518946706
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CATHERINE V NORTHROP MD
Provider Business Mailing Address
First Line : 4500 SAN PABLO RD S
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32224-1865
Country : US
Telephone Number : 904-953-2000
Fax Number :
Provider Business Practice Location Address
First Line : 4201 BELFORT RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-1431
Country : US
Telephone Number : 904-296-3700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2006
Last Update Date : 01/08/2014

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