Doctor Name: | DR. JEFFREY M SCHWARTZ |
NPI Number: | 1215041074 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME50872 |
Business Practice Address: | 4729 Us Highway 98 S Suite 105 Lakeland, FL - 338124323 |
Business Phone Number: | 8636199800 |
Business Fax Number: | 8636199840 |
Mailing Address: | 4729 Us Highway 98 S, Suite 105 LAKELAND |
State: | FL |
Postal Code: | 338124323 |
Phone Number: | 8636199800 |
Fax Number: | 8636199840 |
NPI Enumeration Date: | 08/18/2006 |
NPI Last Update Date: | 07/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME50872 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |