Hawthorne Family Practice Llc in Hawthorne - Preferred Provider Organization

Hawthorne Family Practice Llc - NPI 1245454586

Hawthorne Family Practice Llc is a Preferred Provider Organization in Hawthorne, Florida. Hawthorne Family Practice Llc practices all healthcare services and medical treatments related to Preferred Provider Organization. The NPI Number for Hawthorne Family Practice Llc is 1245454586. The last update date is 2007-07-19.

Hawthorne Family Practice Llc's current location address is 21815 Se 71st Ave, Hawthorne, Florida. You can contact this provider via phone number 3524812400 and fax number 3524812777. The mailing address for Hawthorne Family Practice Llc is 21815 Se 71st Ave, Hawthorne, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Hawthorne Family Practice Llc
Address 21815 Se 71st Ave, Hawthorne, Florida
Phone Number 3524812400
Fax Number 3524812777
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEDICAL DO
Authorized Official Name Colasante Marie Ona
Credentials MD
Telephone Number 3524812400

NPI Number Detail

NPI Number 1245454586
Provider Enumeration Date 2007-04-11
Last Updated Date 2007-07-19

Provider Mailing Address Detail

Address 21815 Se 71st Ave
City Hawthorne
State Florida (FL)
Post Code 326403974
Phone Number 3524812400
Fax Number 3524812777

Provider's Primary Taxonomy Detail

Speciality Preferred Provider Organization
Taxonomy 305R00000X
Licence No ME0063062
Definition:
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient rec

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FAQs about Hawthorne Family Practice Llc

What is the unique identifier code issued to Hawthorne Family Practice Llc by the Centers for Medicare & Medicaid Services (CMS)?

The Hawthorne Family Practice Llc has been assigned the NPI (National Provider Identifier) 1245454586. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Hawthorne Family Practice Llc is physically located?

The Hawthorne Family Practice Llc is physically situated at the following address: 21815 Se 71St Ave, Hawthorne, FL, 326403974.

What is Hawthorne Family Practice Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Hawthorne Family Practice Llc's specialized field of practice is Preferred Provider Organization, and the corresponding taxonomy code that categorizes this area of specialization is 305R00000X.

On what date did the Hawthorne Family Practice Llc receive the assignment of its 1245454586 from the Centers for Medicare & Medicaid Services?

The Hawthorne Family Practice Llc was issued its 1245454586 by the Centers for Medicare & Medicaid Services on 2007-04-11.

When was the information related to Hawthorne Family Practice Llc most recently updated or refreshed?

The details pertaining to the Hawthorne Family Practice Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-19.

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