MEDICARE: SHANI LEE KATZ DO

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
1	207X00000X	Orthopaedic Surgery Physician	OS 10573	FL

General Provider Information

NPI Number	:	1376750125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANI LEE KATZ DO

Provider Business Mailing Address
First Line	:	2047 PALM BEACH LAKES BLVD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-6522
Country	:	US
Telephone Number	:	561-507-0800
Fax Number	:

Provider Business Practice Location Address
First Line	:	6699 BOYNTON BEACH BLVD B
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-3527
Country	:	US
Telephone Number	:	561-507-0800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2007
Last Update Date	:	07/27/2023

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