Provider Demographics
NPI:1104828078
Name:DROURR, CATHERINE (MD)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:DROURR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2151 S ALTERNATE A1A
Mailing Address - Street 2:950
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33477-4112
Mailing Address - Country:US
Mailing Address - Phone:561-743-2239
Mailing Address - Fax:561-768-9700
Practice Address - Street 1:2151 S ALTERNATE A1A
Practice Address - Street 2:950
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33477-4112
Practice Address - Country:US
Practice Address - Phone:561-743-2239
Practice Address - Fax:561-768-9700
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2015-02-10
Deactivation Date:2006-03-22
Deactivation Code:
Reactivation Date:2006-03-31
Provider Licenses
StateLicense IDTaxonomies
FLME72879207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG08443Medicare UPIN
FL42634AMedicare ID - Type Unspecified