# ANDREW KORTZ MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730164096
- **Authorized official:** ANDREW E KORTZ MD (OWNER)
- **Authorized official phone:** (850) 932-2000

## Contact information

- **Practice address:** 4570 ISABELLA INGRAM DR, PENSACOLA, FL 32504-5026
- **Practice address phone:** (850) 438-6555
- **Practice address fax:** (850) 438-6559
- **Mailing address:** 4570 ISABELLA INGRAM DR, PENSACOLA, FL 32504-5026
- **Mailing address phone:** (850) 438-6555
- **Mailing address fax:** (850) 438-6559

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/09/2005
- **Last updated:** 02/18/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 265779100 | — | FL |
| 05 | — | 529918320 | — | AL |
| 01 | — | DB5369 | MEDICARE RAILROAD | FL |