# EAST SIDE MEDICAL CENTER OF SOUTH FLORIDA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639190184
- **Authorized official:** DR. CLAIRE KATZ MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (954) 331-5799

## Contact information

- **Practice address:** 100 NW 82ND AVE STE 401, PLANTATION, FL 33324-1835
- **Practice address phone:** (954) 331-5799
- **Practice address fax:** (954) 587-5018
- **Mailing address:** 100 NW 82ND AVE, SUITE 401, PLANTATION, FL 33324
- **Mailing address phone:** (954) 331-5799
- **Mailing address fax:** (954) 587-5018

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 08/03/2017