Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Hawthorne Medical Center, Inc

Organization Family Medicine Physician · NPI 1023196318

Hawthorne Medical Center, Inc provides Family Medicine Physician services in Hawthorne, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

21815 S.e 71st Ave
Hawthorne, FL 32640-3974 Not confirmed with CMS for 17 years — call before visiting
Phone: (352) 481-2400
Fax: (352) 481-2777
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence HCC8421 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence ME63062 (FL)

Record details

NPI number1023196318
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patricia McCullough — President/Owner · (352) 481-2400
Other names Hawthorne Medical Center, Pa
NPI enumeratedNovember 2, 2006
Last updated in NPPESJuly 6, 2009
Mailing address21815 S.E .71st Avenue, Hawthorne, FL 32640-3974

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