Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204C00000X | Sports Medicine Doctor | 15464 | FL |
NPI | 1417902750 |
---|---|
Provider Name | Dr. Henry H. Schilowitz |
First Address | Orlando, FL 32803-8208 |
Second Address | Orlando, FL 32803-8208 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000 | (02) | FL |
000 | VETERANS CLINIC (01) | FL |