Basic Information
Provider Information
NPI: 1326545906
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOEPPNER
FirstName: CATHERINE
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1611 NW 12TH AVE
Address2:  
City: MIAMI
State: FL
PostalCode: 331361005
CountryCode: US
TelephoneNumber: 3055854564
FaxNumber:  
Practice Location
Address1: 1611 NW 12TH AVE
Address2:  
City: MIAMI
State: FL
PostalCode: 331361005
CountryCode: US
TelephoneNumber: 3055854564
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/10/2018
LastUpdateDate: 08/23/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/23/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X156423FLY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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