Individual
CHRISTOPHER ALAN LATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
653 W 8TH ST FL 3, JACKSONVILLE, FL 32209-6511
(904) 224-7418
Mailing address
PO BOX 44008, JACKSONVILLE, FL 32231-4008
(904) 224-7418
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
L-264060
MA
2086S0129X
Vascular Surgery Physician
Primary
ME157706
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114923500
—
FL
01
—
TOMRP
BCBS
FL
Enumeration date
06/11/2015
Last updated
10/25/2024
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