1306849724 NPI number — DR. HOWARD E KATZMAN M.D.

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306849724 NPI number — DR. HOWARD E KATZMAN M.D.

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

KATZMAN

Provider First Name:

HOWARD

Provider Middle Name:

E

Provider Name Prefix Text:

DR.

Provider Name Suffix Text:

Provider Credential Text:

M.D.

Provider Gender Code:

M

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1306849724

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

09/22/2017

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

8950 N. KENDALL DRIVE

Provider Second Line Business Mailing Address:

SUTIE 504-W

Provider Business Mailing Address City Name:

MIAMI

Provider Business Mailing Address State Name:

FL

Provider Business Mailing Address Postal Code:

33176-2144

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

305-274-2030

Provider Business Mailing Address Fax Number:

305-279-0878

Provider First Line Business Practice Location Address:

8950 N. KENDALL DRIVE

Provider Second Line Business Practice Location Address:

SUITE 504

Provider Business Practice Location Address City Name:

MIAMI

Provider Business Practice Location Address State Name:

FL

Provider Business Practice Location Address Postal Code:

33176-2144

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

305-274-2030

Provider Business Practice Location Address Fax Number:

305-279-0878

Provider Enumeration Date:

05/31/2005

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 208600000X , with the licence number:  ME-0011726 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 2086S0129X , with the licence number: 11726 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 2086S0129X , with the licence number: ME-0011726 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 000302 . This is a "NEIGHBORHOOD HEALTH PLAN" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
• Identifier: 206685 . This is a "AVMED" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
• Identifier: 049484-4000 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
• Identifier: 1292956005 . This is a "CIGNA" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
• Identifier: 852990 . This is a "AETNA" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
• Identifier: 54235 . This is a "JACKSON MEMORIAL HEALTH" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
• Identifier: 17-02163 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
• Identifier: 91240 . This is a "BLUE SHIELD" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
• Identifier: 049484400 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".