Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | ME0064947 | FL |
Y | 111NI0900X | Internist | ME0064947 | FL |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | ME0064947 | FL |
NPI | 1043224249 |
---|---|
Provider Name | Dr. Paul Michael Schwartz |
First Address | Delray Beach, FL 33484-6409 |
Second Address | Delray Beach, FL 33484-6409 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 29/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
25209 | BLUE CROSS/SHIELD # (01) | FL |
F64445 | (02) | FL |