Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | ME102631 | FL |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | MD 039970 E | PA |
NPI | 1255310108 |
---|---|
Provider Name | David Marshall Katz |
First Address | Boca Raton, FL 33496-2473 |
Second Address | Boca Raton, FL 33487-2861 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2006 |
Last Update Date | 29/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
015809000 | (05) | FL |
E82692 | (02) |