MEDICARE: ALEXANDER KATZ, MD, PA

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

General Provider Information

NPI Number	:	1700202918
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALEXANDER KATZ, MD, PA

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	:

Provider Business Practice Location Address
First Line	:	260 NW PEACOCK BLVD STE 201
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34986-2349
Country	:	US
Telephone Number	:	561-797-4652
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ALEXANDER KATZ
Credential	:	M.D.
Telephone Number	:	772-446-4230

Provider Enumeration Date	:	03/12/2014
Last Update Date	:	11/29/2022

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