Provider Demographics
NPI:1588807432
Name:HAWTHORNE, CATHERINE LOUISE TONYA-KAE (DO)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:LOUISE TONYA-KAE
Last Name:HAWTHORNE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1684 BELCHER RD. N
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765
Mailing Address - Country:US
Mailing Address - Phone:727-447-3555
Mailing Address - Fax:727-446-0106
Practice Address - Street 1:1684 N BELCHER RD
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765-1311
Practice Address - Country:US
Practice Address - Phone:727-447-3555
Practice Address - Fax:727-446-0106
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-08
Last Update Date:2009-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS 6676207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine