MEDICARE: DR. ALEXANDER KATZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	ME95696	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	U7868Y	OTHER		MEDICARE RETIRED RAILROAD
4	U7868Z	OTHER		MEDICARE RETIRED RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	U7868	OTHER	FL	BCBS OF FLORIDA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164453981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXANDER KATZ M.D.

Provider Business Mailing Address
First Line	:	260 NW PEACOCK BLVD STE 201
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34986-2349
Country	:	US
Telephone Number	:	772-446-4230
Fax Number	:	772-446-4758

Provider Business Practice Location Address
First Line	:	260 NW PEACOCK BLVD STE 201
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34986-2349
Country	:	US
Telephone Number	:	772-446-4230
Fax Number	:	772-446-4758

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	03/02/2026

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