Individual
DR. PHILIP LORTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1855 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5530
(772) 288-6300
(772) 288-6374
Mailing address
PO BOX 2229, STUART, FL 34995-2229
(772) 288-6300
(772) 288-6374
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME66421
FL
2084N0400X
Neurology Physician
Primary
ME66421
FL
Other
Enumeration date
07/31/2006
Last updated
02/07/2014
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