| Doctor Name: | CATHERINE C CLEVENGER |
| NPI Number: | 1881905719 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA- C |
| License Number: | PA9105514 |
| Business Practice Address: | 117 W Belt Ave Ste A Bushnell, FL - 335135101 |
| Business Phone Number: | 3525681988 |
| Business Fax Number: | 3525682427 |
| Mailing Address: | 23116 Whitman Rd, BROOKSVILLE |
| State: | FL |
| Postal Code: | 346014509 |
| Phone Number: | 4073537223 |
| Fax Number: | |
| NPI Enumeration Date: | 06/25/2010 |
| NPI Last Update Date: | 06/25/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA9105514 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |