Provider Demographics
NPI:1457314205
Name:COWART, CATHERINE LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:LYNN
Last Name:COWART
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2919 W SWANN AVE STE 307
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-4051
Mailing Address - Country:US
Mailing Address - Phone:813-872-0018
Mailing Address - Fax:813-876-1149
Practice Address - Street 1:2919 W SWANN AVE STE 307
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-4051
Practice Address - Country:US
Practice Address - Phone:813-872-0018
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-11
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME69677207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLF31660Medicare UPIN