Provider Demographics
NPI:1336824184
Name:KATZ, JOHANNAH GIRON (RD)
Entity type:Individual
Prefix:MRS
First Name:JOHANNAH
Middle Name:GIRON
Last Name:KATZ
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4750 THE GROVE DR STE 250
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-8427
Mailing Address - Country:US
Mailing Address - Phone:407-354-0717
Mailing Address - Fax:407-636-7878
Practice Address - Street 1:4750 THE GROVE DR STE 250
Practice Address - Street 2:
Practice Address - City:WINDERMERE
Practice Address - State:FL
Practice Address - Zip Code:34786-8427
Practice Address - Country:US
Practice Address - Phone:407-354-0717
Practice Address - Fax:407-636-7878
Is Sole Proprietor?:No
Enumeration Date:2023-06-20
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND12213133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered