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NPI Code Detail

MEDICARE: DR. LARRY KATZ MD

MEDICARE: DR. LARRY KATZ MD
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
1207R00000XInternal Medicine PhysicianME48198FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
361538VOTHERFLMEDICARE NUMBER

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
261538OTHERFLBLUE CROSS

General Provider Information

NPI Number : 1629059993
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LARRY KATZ MD
Provider Business Mailing Address
First Line : 1000 PARK CENTRE BLVD
Second Line : SUITE 100
City : MIAMI
State : FL
Zip : 33169-5373
Country : US
Telephone Number : 305-621-0023
Fax Number : 305-623-9188
Provider Business Practice Location Address
First Line : 1431 NE 162ND ST
Second Line :
City : NORTH MIAMI BEACH
State : FL
Zip : 33162-4620
Country : US
Telephone Number : 305-949-0999
Fax Number : 305-944-5648
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2005
Last Update Date : 09/20/2012

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