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Individual

ANDREW E KORTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME63899
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009940855
AL
05
265779100
FL
01
591-68722
BLUE CROSS BLUE SHIELD
AL
01
62923
BLUE CROSS BLUE SHIELD
FL
01
C179
HEALTH FIRST NETWORK
FL
01
P00113272
MEDICARE RAILROAD
FL
Enumeration date
12/09/2005
Last updated
09/16/2025
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