Provider Demographics
NPI:1972590149
Name:KATZ, RAANANAH S (MD)
Entity Type:Individual
Prefix:
First Name:RAANANAH
Middle Name:S
Last Name:KATZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1776 N PINE ISLAND RD
Mailing Address - Street 2:STE 214
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33322-5233
Mailing Address - Country:US
Mailing Address - Phone:954-452-9922
Mailing Address - Fax:954-452-9481
Practice Address - Street 1:1776 N PINE ISLAND RD
Practice Address - Street 2:STE 214
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33322-5233
Practice Address - Country:US
Practice Address - Phone:954-452-9922
Practice Address - Fax:954-452-9481
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-04
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0036706207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL066157100Medicaid
FL1024870001OtherDME
CA47578OtherLICENSE
FLAK3025308OtherDEA
FLAK3025308OtherDEA
FL93963Medicare ID - Type Unspecified