Provider Demographics
NPI:1609122878
Name:JOHN J CATANO MD PA
Entity Type:Organization
Organization Name:JOHN J CATANO MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:J
Authorized Official - Last Name:CATANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-718-3752
Mailing Address - Street 1:7300 W MCNAB RD
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-5300
Mailing Address - Country:US
Mailing Address - Phone:954-718-3752
Mailing Address - Fax:954-718-3753
Practice Address - Street 1:7300 W MCNAB RD
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-5300
Practice Address - Country:US
Practice Address - Phone:954-718-3752
Practice Address - Fax:954-718-3753
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-25
Last Update Date:2012-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME91480208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLH91102Medicare UPIN