Organization
MARC A. KATZ, DPM, PA
Active
Other names
Advanced Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC A KATZ DPM (MEDICAL DIRECTOR)
(813) 875-0555
Entity
Organization
Contact information
Practice address
2919 W SWANN AVE, STE 203, TAMPA, FL 33609-4038
(813) 875-0555
(866) 313-3106
Mailing address
PO BOX 272284, TAMPA, FL 33688-2284
(813) 875-0555
(866) 313-3106
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2532
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
PO2532
FL
213ES0131X
Foot Surgery Podiatrist
PO2532
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003TG
BCBS GROUP
FL
01
—
1144223363
INDIVIDUAL NPI
FL
01
—
65499
BCBS
FL
01
—
65499D
MCARE INDIVIDUAL
FL
01
—
DA5546
RR MCARE GROUP ID
FL
01
—
P00063086
RR MCARE INDIVIDUAL
FL
01
—
P02532
LICENSE
FL
Enumeration date
10/10/2007
Last updated
09/23/2014
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