Provider Demographics
NPI:1295758001
Name:KATZ, CLAIRE P (MD)
Entity type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:P
Last Name:KATZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:100 NW 82ND AVE STE 401
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-1835
Mailing Address - Country:US
Mailing Address - Phone:954-331-5799
Mailing Address - Fax:954-587-5018
Practice Address - Street 1:100 NW 82ND AVE STE 401
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-1835
Practice Address - Country:US
Practice Address - Phone:954-331-5799
Practice Address - Fax:954-587-5018
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME69351207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL250272100Medicaid
FLG45789Medicare UPIN
FL250272100Medicaid