Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PE0004X | Emergency Medical Services | OS 4022 | FL |
NPI | 1104030691 |
---|---|
Provider Name | Dr. Sandra Schwemmer |
First Address | Tavernier, FL 33070-2010 |
Second Address | Tavernier, FL 33070-2010 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2007 |
Last Update Date | 08/07/2007 |