# KATALYST HEALTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KATALYST PRIMARY CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770052334
- **Authorized official:** MARIE DENISE ALVAREZ RN (CEO)
- **Authorized official phone:** (954) 699-7696

## Contact information

- **Practice address:** 14704 SW 11 STREET, PEMBROKE PINES, FL 33027
- **Practice address phone:** (954) 699-7696
- **Practice address fax:** (954) 206-6346
- **Mailing address:** 14704 SW 11TH ST, PEMBROKE PINES, FL 33027-6194
- **Mailing address phone:** (954) 699-7696
- **Mailing address fax:** (954) 206-6346

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/13/2018
- **Last updated:** 06/11/2019