Healthcare Provider Details

I. General information

NPI: 1144628686
Provider Name (Legal Business Name): RECOVERY MEDICAL SERVICES, P.L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2014
Last Update Date: 12/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5200 EAST AVE
WEST PALM BEACH FL
33407-2374
US

IV. Provider business mailing address

1114 LOST CREEK BLVD SUITE #500
AUSTIN TX
78746-6300
US

V. Phone/Fax

Practice location:
  • Phone: 512-266-1033
  • Fax:
Mailing address:
  • Phone: 512-266-1033
  • Fax: 512-582-8757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License NumberME56258
License Number StateFL

VIII. Authorized Official

Name: DR. EDWARD HARVEY KATZ
Title or Position: OWNER
Credential: M.D.
Phone: 512-266-1033