Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | ME112626 | FL |
Y | 208600000X | Surgeon | ME112626 | FL |
N | 2086S0122X | Plastic and Reconstructive Surgery | 0101231511 | VA |
NPI | 1174692784 |
---|---|
Provider Name | Adam Judd Katz |
First Address | Orlando, FL 32891-8025 |
Second Address | Gainesville, FL 32610-3003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2006 |
Last Update Date | 07/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
004854400 | (05) | FL |
6900895 | (05) | VA |