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NPI Code Detail

MEDICARE: JEFFREY L KATZELL MD PA

MEDICARE: JEFFREY L KATZELL MD PA
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
1174400000XSpecialistME0050379FL

General Provider Information

NPI Number : 1023135142
Entity Type Code : Organization
Provider Name (Legal Business Name) : JEFFREY L KATZELL MD PA
Provider Business Mailing Address
First Line : 7408 LAKE WORTH RD
Second Line : SUITE 100
City : LAKE WORTH
State : FL
Zip : 33467-2531
Country : US
Telephone Number : 561-642-1219
Fax Number : 561-642-6568
Provider Business Practice Location Address
First Line : 7408 LAKE WORTH RD
Second Line : SUITE 100
City : LAKE WORTH
State : FL
Zip : 33467-2531
Country : US
Telephone Number : 561-642-1219
Fax Number : 561-642-6568
Authorized Official
Title or Position : PRESIDENT
Name : DR. JEFFREY LLOYD KATZELL
Credential : MD
Telephone Number : 561-642-1219
Provider Enumeration Date : 03/23/2007
Last Update Date : 12/29/2009

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Directions to “JEFFREY L KATZELL MD PA ” Practice Location

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