Organization
ANDREW KORTZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW E KORTZ MD (OWNER)
(850) 932-2000
Entity
Organization
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265779100
—
FL
05
—
529918320
—
AL
01
—
DB5369
MEDICARE RAILROAD
FL
Enumeration date
12/09/2005
Last updated
02/18/2016
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