Latz, Christopher A

Latz, Christopher A is an individual health care provider with primary practice located at 653 W 8Th St Fl 3 , Jacksonville FL 32209-6511. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Latz, Christopher A can be contacted via phone (904) 224-7418.

Contact Information

Primary practice address
653 W 8Th St Fl 3 Jacksonville FL 32209-6511
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X L-264060 Massachusetts
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X ME157706 Florida

Profile Details

NPI number 1871974386
LBN Legal business name Latz, Christopher A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2015
Last updated Jun 6th, 2024 - about 6 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871974386 NPPES
Florida Other TOMRP BCBS
Florida MEDICAID 114923500 BCBS

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