Latz, Christopher Alan
Latz, Christopher Alan 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 Alan can be contacted via phone (904) 224-7418.Contact Information
Primary practice address
653 W 8Th St Fl 3
Jacksonville FL 32209-6511
Phone: (904) 224-7418
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2015 |
| Last updated | Oct 25th, 2024 - 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 | 1871974386 | NPPES |
| Florida | MEDICAID | 114923500 | |
| Florida | Other | TOMRP |
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