Katz, Timothy

Katz, Timothy is an sole proprietor health care provider with primary practice located at 501 Del Prado Blvd S , Cape Coral FL 33990-2618. He recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutritionist. Dietary & Nutritional Service Providers / Nutritionist is his primary health care specialty. Katz, Timothy can be contacted via phone (239) 424-3120.

Contact Information

Primary practice address
501 Del Prado Blvd S Cape Coral FL 33990-2618
Phone: (239) 424-3120
Fax: (239) 343-4042
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X ND7508 Florida
Dietary & Nutritional Service Providers / Nutritionist 133N00000X ND7580 Florida

Profile Details

NPI number 1588431423
LBN Legal business name Katz, Timothy
Credentials RD, CDCES
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2023
Last updated Mar 6th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588431423 NPPES
Florida MEDICAID 121486900

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