Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | ME0084246 | FL |
NPI | 1467455683 |
---|---|
Provider Name | Dr. Jeremy A Schwartz |
First Address | Ft Myers, FL 33901-4900 |
Second Address | Ft Myers, FL 33901-4900 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2005 |
Last Update Date | 20/10/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H81118 | (02) |