MEDICARE: RAANANAH S KATZ MD

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	207W00000X	Ophthalmology Physician	ME0036706	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1024870001	OTHER	FL	DME
3	47578	OTHER	CA	LICENSE

General Provider Information

NPI Number	:	1972590149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAANANAH S KATZ MD

Provider Business Mailing Address
First Line	:	1776 N PINE ISLAND RD
Second Line	:	STE 214
City	:	PLANTATION
State	:	FL
Zip	:	33322-5233
Country	:	US
Telephone Number	:	954-452-9922
Fax Number	:	954-452-9481

Provider Business Practice Location Address
First Line	:	1776 N PINE ISLAND RD
Second Line	:	STE 214
City	:	PLANTATION
State	:	FL
Zip	:	33322-5233
Country	:	US
Telephone Number	:	954-452-9922
Fax Number	:	954-452-9481

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

Provider Enumeration Date	:	10/04/2005
Last Update Date	:	03/07/2023

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