HAWTHORNE FAMILY PRACTICE LLC NPI 1245454586

NPI Information

  • NPI: 1245454586
  • Provider Name: HAWTHORNE FAMILY PRACTICE LLC
  • Classification: Preferred Provider Organization - 305R00000X
  • Entity Type: Organization
  • Address: 21815 SE 71ST AVE
    HAWTHORNE, FL
    ZIP 32640
  • Phone: (352) 481-2400

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NPI Details

HAWTHORNE FAMILY PRACTICE LLC is a preferred provider organization in Hawthorne, FL. The provider is 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 receives care at a lower benefit level. HAWTHORNE FAMILY PRACTICE LLC NPI is 1245454586. The provider is registered as an organization entity type.

The provider's business location address is:

21815 SE 71ST AVE
HAWTHORNE, FL
ZIP 32640-974
Phone: (352) 481-2400
Fax: (352) 481-2777

The provider's authorized official is Ona Marie Colasante .
The authorized official title is Medical Doctor and has the following contact phone number (352) 481-2400.

The enumeration date for this NPI number is 4/11/2007 and was last updated on 7/19/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1305R00000XPreferred Provider OrganizationME0063062FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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