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Individual

ADAM JUDD KATZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-8670
(352) 273-8639
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 273-8670
(352) 273-8639

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME112626
FL
2086S0122X
Plastic and Reconstructive Surgery Physician
0101231511
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004854400
FL
05
6900895
VA
Enumeration date
11/07/2006
Last updated
06/07/2012
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