Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | ME103105 | FL |
NPI | 1063667541 |
---|---|
Provider Name | Dr. Christopher John Schmidt |
First Address | Ocala, FL 34471-7765 |
Second Address | Ocala, FL 34471-7765 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/11/2008 |
Last Update Date | 27/10/2009 |