Provider Demographics
NPI:1871514307
Name:KATZELL, JEFFREY LLOYD (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:LLOYD
Last Name:KATZELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7408 LAKE WORTH RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-2531
Mailing Address - Country:US
Mailing Address - Phone:561-642-1219
Mailing Address - Fax:561-642-6568
Practice Address - Street 1:7408 LAKE WORTH RD
Practice Address - Street 2:SUITE 100
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-2531
Practice Address - Country:US
Practice Address - Phone:561-642-1219
Practice Address - Fax:561-642-6568
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME50379207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL02992Medicare PIN
FLD20814Medicare UPIN