Basic Information
Provider Information
NPI: 1790736213
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MAJOR
FirstName: CATHERINE
MiddleName: ALEXIS
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: BOX 6941
Address2: 501 6TH AVE S
City: ST. PETERSBURG
State: FL
PostalCode: 337014634
CountryCode: US
TelephoneNumber: 7277674429
FaxNumber: 7277674970
Practice Location
Address1: 501 6TH AVE S
Address2:  
City: ST PETERSBURG
State: FL
PostalCode: 337014634
CountryCode: US
TelephoneNumber: 7277674243
FaxNumber: 7277678612
Other Information
ProviderEnumerationDate: 05/12/2006
LastUpdateDate: 10/18/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000XME92626FLY Allopathic & Osteopathic PhysiciansPediatrics 

ID Information
IDTypeStateIssuerDescription
0343401FLBC/BSOTHER
769866701 AETNAOTHER
27221430005FL MEDICAID
29731801 AVMEDOTHER
29159001 STAYWELL/HEALTHEASEOTHER
977450501 CIGNAOTHER


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