Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | OS5874 | FL |
Y | 2080P0214X | Pediatric Pulmonologist | OS5874 | FL |
NPI | 1548270457 |
---|---|
Provider Name | Bruce M. Schnapf |
First Address | Orlando, FL 32891-7770 |
Second Address | Tampa, FL 33606-3603 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2006 |
Last Update Date | 05/12/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
063757200 | (05) | FL |
80373 | BLUE CROSS BLUE SHIELD (01) | FL |
E55304 | (02) | FL |