Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | ME62253 | FL |
NPI | 1124035720 |
---|---|
Provider Name | Arthur Herman Katz |
First Address | Jupiter, FL 33458-7202 |
Second Address | Jupiter, FL 33458-7202 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2006 |
Last Update Date | 07/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
17712 | BCBS (01) | FL |
F39589 | (02) | FL |