Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | PO2532 | FL |
Y | 222Z00000X | Podiatrist | PO2532 | FL |
N | 213ES0103X | Foot & Ankle Surgery | PO2532 | FL |
N | 213ES0131X | Foot Surgery | PO2532 | FL |
NPI | 1144223363 |
---|---|
Provider Name | Dr. Marc A Katz |
First Address | Tampa, FL 33688-2284 |
Second Address | Tampa, FL 33609-4038 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2005 |
Last Update Date | 23/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003TG | BCBS GROUP (01) | FL |
01028 | UNIVERSAL (01) | FL |
2781096 | EVERCARE (01) | FL |
390343500 | (05) | FL |
608135000 | DEPT OF LABOR (01) | FL |
6202514 | GHI (01) | FL |
65499 | BCBS (01) | FL |
BK7288473 | DEA (01) | |
DA5546 | RR GROUP (01) | FL |
P00063086 | RR INDIVIDUAL (01) | FL |
PO2532 | MED LIC (01) | FL |
T69356 | (02) | FL |