Healthcare Provider Details

I. General information

NPI: 1942553144
Provider Name (Legal Business Name): KATZ PEDIATRICS P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2012
Last Update Date: 10/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 SE MONTEREY RD STE 302
STUART FL
34994-4512
US

IV. Provider business mailing address

1050 SE MONTEREY RD STE 302
STUART FL
34994-4512
US

V. Phone/Fax

Practice location:
  • Phone: 772-678-7474
  • Fax: 772-678-7475
Mailing address:
  • Phone: 772-678-7474
  • Fax: 772-678-7475

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME95676
License Number StateFL

VIII. Authorized Official

Name: DR. SARRIE FELDMAN KATZ
Title or Position: OWNER
Credential:
Phone: 772-678-7474