Provider Demographics
NPI:1184678633
Name:KATZ CASEY LEVINE MD PA
Entity Type:Organization
Organization Name:KATZ CASEY LEVINE MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARMAND
Authorized Official - Middle Name:H
Authorized Official - Last Name:KATZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-621-3897
Mailing Address - Street 1:5700 N FEDERAL HWY
Mailing Address - Street 2:SUITE 1
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-2600
Mailing Address - Country:US
Mailing Address - Phone:786-621-3897
Mailing Address - Fax:305-675-2788
Practice Address - Street 1:5700 N FEDERAL HWY
Practice Address - Street 2:SUITE 1
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-2600
Practice Address - Country:US
Practice Address - Phone:786-621-3897
Practice Address - Fax:305-675-2788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME24070174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL020020909OtherMEDICARE RAILROAD
FL020308OtherNHP
FL93011OtherBCBS
FL375478200Medicaid
FL020020909OtherMEDICARE RAILROAD
FL375478200Medicaid