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Individual

DR. HARY T. KATZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4123 UNIVERSITY BLVD. S., SUITE B, JACKSONVILLE, FL 32216
(904) 636-9100
(904) 636-9102
Mailing address
4123 UNIVERSITY BLVD S., SUITE B, JACKSONVILLE, FL 32216
(904) 636-9100
(904) 636-9102

Taxonomy

Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
ME88948
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
270038700
FL
05
494644845A
GA
Enumeration date
08/10/2006
Last updated
08/23/2012
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