Hatz, Elizabeth
Hatz, Elizabeth is an individual health care provider with primary practice located at 1700 Se Hillmoor Dr Ste 501 , Port Saint Lucie FL 34952-7536. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Hatz, Elizabeth can be contacted via phone (772) 212-7049.Contact Information
Primary practice address
1700 Se Hillmoor Dr Ste 501
Port Saint Lucie FL 34952-7536
Phone: (772) 212-7049
Fax: (772) 212-7059
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | UO 3151 | Florida |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS12757 | Florida |
Profile Details
| NPI number | 1467705640 |
|---|---|
| LBN Legal business name | Hatz, Elizabeth |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2012 |
| Last updated | Jul 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467705640 | NPPES |
| Florida | Other | 1519W | BLUE CROSS BLUE SHIELD |
| Florida | MEDICAID | 015111800 | BLUE CROSS BLUE SHIELD |
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