Provider Demographics
NPI:1801819206
Name:GATZ, BART GERARD (MD)
Entity Type:Individual
Prefix:DR
First Name:BART
Middle Name:GERARD
Last Name:GATZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4897 S JOG RD
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33467-5052
Mailing Address - Country:US
Mailing Address - Phone:561-434-7577
Mailing Address - Fax:561-434-3440
Practice Address - Street 1:4897 S JOG RD
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33467-5052
Practice Address - Country:US
Practice Address - Phone:561-434-7577
Practice Address - Fax:561-434-3440
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0076064207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL43616Medicare ID - Type Unspecified
FLG70325Medicare UPIN