Individual
KARLIE F LOTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
836 PRUDENTIAL DR STE 1001, JACKSONVILLE, FL 32207
(904) 398-0033
Mailing address
12067 HANSON CREEK DR, JACKSONVILLE, FL 32258-5387
(941) 914-0622
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
9110754
FL
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
07/25/2017
Last updated
07/20/2018
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