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NPI Code Detail

MEDICARE: DR. CATHERINE LOUISE TONYA-KAE HAWTHORNE DO

MEDICARE:  DR. CATHERINE LOUISE TONYA-KAE HAWTHORNE  DO
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
1207Q00000XFamily Medicine PhysicianOS 6676FL

General Provider Information

NPI Number : 1588807432
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CATHERINE LOUISE TONYA-KAE HAWTHORNE DO
Provider Business Mailing Address
First Line : 1684 BELCHER RD. N
Second Line :
City : CLEARWATER
State : FL
Zip : 33765
Country : US
Telephone Number : 727-447-3555
Fax Number : 727-446-0106
Provider Business Practice Location Address
First Line : 1684 N BELCHER RD
Second Line :
City : CLEARWATER
State : FL
Zip : 33765-1311
Country : US
Telephone Number : 727-447-3555
Fax Number : 727-446-0106
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2009
Last Update Date : 04/08/2009

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Directions to “ DR. CATHERINE LOUISE TONYA-KAE HAWTHORNE DO” Practice Location

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