Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Hawthorne Medical Center, Inc

Organization Family Medicine Physician · NPI 1023196318

Hawthorne Medical Center, Inc is a Family Medicine Physician 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
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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