Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | OS3284 | FL |
NPI | 1164535936 |
---|---|
Provider Name | Allen F Schultz |
First Address | West Palm Beach, FL 33407-3282 |
Second Address | West Palm Beach, FL 33407-3282 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2006 |
Last Update Date | 04/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
063939700 | (05) | FL |
A78079 | (02) | FL |