MEDICARE: DR. MARC A KATZ DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	PO2532	FL
2	213E00000X	Podiatrist	PO2532	FL
3	213ES0131X	Foot Surgery Podiatrist	PO2532	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DA5546	OTHER	FL	RR GROUP
2	003TG	OTHER	FL	BCBS GROUP
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	608135000	OTHER	FL	DEPT OF LABOR
5	PO2532	OTHER	FL	MED LIC
6	2781096	OTHER	FL	EVERCARE
7	P00063086	OTHER	FL	RR INDIVIDUAL
8	01028	OTHER	FL	UNIVERSAL
9	6202514	OTHER	FL	GHI
10	65499	OTHER	FL	BCBS

General Provider Information

NPI Number	:	1144223363
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARC A KATZ DPM

Provider Business Mailing Address
First Line	:	PO BOX 272284
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33688-2284
Country	:	US
Telephone Number	:	813-875-0555
Fax Number	:	866-313-3106

Provider Business Practice Location Address
First Line	:	2919 W SWANN AVE
Second Line	:	STE 203
City	:	TAMPA
State	:	FL
Zip	:	33609-4038
Country	:	US
Telephone Number	:	813-875-0555
Fax Number	:	866-313-3106

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	03/07/2023

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Directions to “ DR. MARC A KATZ DPM” Practice Location

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