Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | ME0021239 | FL |
NPI | 1013924984 |
---|---|
Provider Name | Robert J Catanzaro |
First Address | Fort Lauderdale, FL 33306 |
Second Address | Fort Lauderdale, FL 33306 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2006 |
Last Update Date | 16/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D60457 | (02) |