Organization
ENDOVASCULAR THERAPY ASSOCIATES,INC
Active
Organization
ENDOVASCULAR THERAPY ASSOCIATES,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY T. KATZEN MD (PRESIDENT)
(305) 596-1960
Entity
Organization
Contact information
Practice address
8900 N KENDALL DR, MIAMI, FL 33176-2118
(786) 596-1960
Mailing address
151 N. NOB HILL ROAD, SUITE 273, PLANTATION, FL 33324-1708
(786) 596-1960
(305) 441-2144
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259389100
—
FL
Enumeration date
06/20/2006
Last updated
10/18/2011
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