Provider Demographics
NPI:1881618270
Name:CATANO, JOHN J (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:J
Last Name:CATANO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:7300 W MCNAB RD
Mailing Address - Street 2:SUITE 112
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:SUITE 112
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2012-05-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME91480208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLH91102Medicare UPIN