MEDICARE: DR. CATHERINE C LARNED 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
1	2084P0800X	Psychiatry Physician	ME71153	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	32250	OTHER	FL	BCBS

General Provider Information

NPI Number	:	1659474260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CATHERINE C LARNED MD

Provider Business Mailing Address
First Line	:	PO BOX 281
Second Line	:	4707 PINE ISLAND RD
City	:	MATLACHA
State	:	FL
Zip	:	33993-0281
Country	:	US
Telephone Number	:	239-283-0784
Fax Number	:	239-283-0735

Provider Business Practice Location Address
First Line	:	4707 PINE ISLAND RD
Second Line	:
City	:	MATLACHA
State	:	FL
Zip	:	33993-0281
Country	:	US
Telephone Number	:	239-283-0784
Fax Number	:	239-283-0735

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

Provider Enumeration Date	:	09/07/2006
Last Update Date	:	04/15/2015

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