Provider Demographics
NPI:1790772101
Name:KATZ, ADAM M (MD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:M
Last Name:KATZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3500 US HIGHWAY 1
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-4511
Mailing Address - Country:US
Mailing Address - Phone:772-299-1404
Mailing Address - Fax:772-299-1455
Practice Address - Street 1:3500 US HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-4511
Practice Address - Country:US
Practice Address - Phone:772-299-1404
Practice Address - Fax:772-299-1455
Is Sole Proprietor?:No
Enumeration Date:2005-09-30
Last Update Date:2012-08-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FL105598207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL105598OtherSTATE LIC
1790772101OtherNPI
NYG55737Medicare UPIN
NY40Z661Medicare ID - Type UnspecifiedOPTHAMOLOGIST RETINA