Organization
HAWTHORNE FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ONA MARIE COLASANTE MD (MEDICAL DOCTOR)
(352) 481-2400
Entity
Organization
Contact information
Practice address
21815 SE 71ST AVE, HAWTHORNE, FL 32640-3974
(352) 481-2400
(352) 481-2777
Mailing address
21815 SE 71ST AVE, HAWTHORNE, FL 32640-3974
(352) 481-2400
(352) 481-2777
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
ME0063062
FL
Other
Enumeration date
04/11/2007
Last updated
07/19/2007
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