Provider Demographics
NPI:1942553144
Name:KATZ PEDIATRICS P.A.
Entity type:Organization
Organization Name:KATZ PEDIATRICS P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SARRIE
Authorized Official - Middle Name:FELDMAN
Authorized Official - Last Name:KATZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-678-7474
Mailing Address - Street 1:1050 SE MONTEREY RD
Mailing Address - Street 2:STE 302
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-4512
Mailing Address - Country:US
Mailing Address - Phone:772-678-7474
Mailing Address - Fax:772-678-7475
Practice Address - Street 1:1050 SE MONTEREY RD
Practice Address - Street 2:STE 302
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-4512
Practice Address - Country:US
Practice Address - Phone:772-678-7474
Practice Address - Fax:772-678-7475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-25
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME95676208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL277135700Medicaid