Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | ME44961 | FL |
Y | 2080P0205X | Pediatric Endocrinologist | ME44961 | FL |
NPI | 1497796817 |
---|---|
Provider Name | Dr. Desmond A Schatz |
First Address | Philadelphia, PA 19101-3833 |
Second Address | Gainesville, FL 32610-0296 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 06/11/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
035609300 | (05) | FL |