Individual
ELIZABETH HATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1700 SE HILLMOOR DR STE 501, PORT SAINT LUCIE, FL 34952-7536
(772) 212-7049
(772) 212-7059
Mailing address
14690 SPRING HILL DR, SUITE 101, SPRING HILL, FL 34609-8102
(352) 799-0046
(352) 799-0042
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OP61556836
WA
207Q00000X
Family Medicine Physician
OS12757
FL
207Q00000X
Family Medicine Physician
UO 3151
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015111800
—
FL
01
—
1519W
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/24/2012
Last updated
02/03/2026
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