Individual
JORDAN ALLEN KATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
475 BILTMORE WAY STE 108, CORAL GABLES, FL 33134-5724
(305) 442-1780
(305) 442-9505
Mailing address
8200 NW 27TH ST STE 108, DORAL, FL 33122-1902
(305) 442-1780
(786) 662-3899
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO4530
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
SC006119
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346478583
MEDICARE UPIN
PA
01
—
245362A8K
MEDICARE PTAN
PA
Enumeration date
06/25/2009
Last updated
10/07/2024
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