Lotz, Preston R

Lotz, Preston R is an individual health care provider with primary practice located at 6716 Nw 11Th Place Ste 200, Gainesville FL 32605-4215. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Lotz, Preston R can be contacted via phone (352) 331-9729.

Contact Information

Primary practice address
6716 Nw 11Th Place Ste 200 Gainesville FL 32605-4215
Phone: (352) 331-9729
Fax: (352) 371-3372
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME18198 Florida

Profile Details

NPI number 1639172521
LBN Legal business name Lotz, Preston R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Nov 7th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639172521 NPPES
Florida Other 01267 BCBS
Florida MEDICAID 041932000 BCBS
Florida Other P00451897 BCBS
Florida Other 01267 BCBS
Florida Other 270855 BCBS
Florida Other 239216 BCBS
Florida Other P00069488 BCBS

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