Individual
ANDREW E KORTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4570 ISABELLA INGRAM DR, PENSACOLA, FL 32504-5026
(850) 438-6555
(850) 438-6559
Mailing address
4570 ISABELLA INGRAM DR, PENSACOLA, FL 32504-5026
(850) 438-6555
(850) 438-6559
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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