MEDICARE: JAY W KATZ 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
1	207YX0901X	Otology & Neurotology Physician	ME66335	FL

General Provider Information

NPI Number	:	1891870424
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAY W KATZ MD PA

Provider Business Mailing Address
First Line	:	5329 W ATLANTIC AVE
Second Line	:	STE 204
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-8176
Country	:	US
Telephone Number	:	561-495-1960
Fax Number	:

Provider Business Practice Location Address
First Line	:	5329 W ATLANTIC AVE
Second Line	:	STE 204
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-8176
Country	:	US
Telephone Number	:	561-495-1960
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JAY W KATZ
Credential	:	MD
Telephone Number	:	561-495-1960

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	11/18/2008

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