Provider Demographics
NPI:1477581304
Name:KATZ, HARVEY L (DPM)
Entity Type:Individual
Prefix:
First Name:HARVEY
Middle Name:L
Last Name:KATZ
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7800 WEST OAKLAND PARK BLVD
Mailing Address - Street 2:BLDG C STE 108
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-1121
Mailing Address - Country:US
Mailing Address - Phone:954-742-7003
Mailing Address - Fax:954-742-7012
Practice Address - Street 1:7800 WEST OAKLAND PARK BLVD
Practice Address - Street 2:BLDG C STE 108
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-1121
Practice Address - Country:US
Practice Address - Phone:954-742-7003
Practice Address - Fax:954-742-7012
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO4299213ES0103X
NYN003638213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPO4299OtherLICENSE