Hawthorne Family Practice LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

ME0063062 Issued in FL

Legal business name

HAWTHORNE FAMILY PRACTICE LLC

Practice address

21815 SE 71St Ave
Hawthorne, FL 32640-3974

Phone

(352) 481-2400

Fax

(352) 481-2777

NPI assigned

Apr 11, 2007

Last updated

Jul 19, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ona Marie Colasante, MDNPI 1730160193

Title

Medical Doctor

Phone

(352) 481-2400

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ona Colasante, MD

  • Family Medicine Physician
  • Gainesville, FL
  • NPI 1730160193
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1245454586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21815 SE 71ST AVE",
            "city": "HAWTHORNE",
            "state": "FL",
            "postal_code": "326403974",
            "telephone_number": "352-481-2400",
            "fax_number": "352-481-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21815 SE 71ST AVE",
            "city": "HAWTHORNE",
            "state": "FL",
            "postal_code": "326403974",
            "telephone_number": "352-481-2400",
            "fax_number": "352-481-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWTHORNE FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "COLASANTE",
        "authorized_official_first_name": "ONA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "352-481-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": "ME0063062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Nicoloso DMD PLLC
• Kaitlynne Nichole Goodman, CNA
• Grade a Nursing Services LLC
• Erin Stacey Hailstone, LMT
• Harmony Fruition Agency LLC
• Hawthorne Medical Center, Inc.
• Healthy Lifestyles, LLC
• Holiday CVS LLC (CVS Pharmacy #04629)
• Katherine Sue Hooper
• Nikki Nicole Hutchinson, CCC-SLP, MA

• Preferred Provider Organization in Hawthorne, FL
• Providers in Hawthorne, FL by specialty
• Preferred Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.