Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | PO-2704 | FL |
NPI | 1053373241 |
---|---|
Provider Name | Dr. Robin M Katz |
First Address | St Petersburg, FL 33710-1515 |
Second Address | St Petersburg, FL 33710-1515 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2006 |
Last Update Date | 30/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
390423700 | (05) | FL |
U67686 | (02) | FL |