Healthcare Provider Details

I. General information

NPI: 1376750125
Provider Name (Legal Business Name): SHANI LEE KATZ DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2047 PALM BEACH LAKES BLVD
WEST PALM BEACH FL
33409-6522
US

IV. Provider business mailing address

2047 PALM BEACH LAKES BLVD
WEST PALM BEACH FL
33409-6522
US

V. Phone/Fax

Practice location:
  • Phone: 561-507-0800
  • Fax:
Mailing address:
  • Phone: 561-507-0800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberOS 10573
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: