Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | 0000678 | FL |
NPI | 1336210665 |
---|---|
Provider Name | Dr. Stephen Schwartz |
First Address | Deerfield Beach, FL 33442-1420 |
Second Address | Deerfield Beach, FL 33442-1420 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2006 |
Last Update Date | 14/09/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1127170001 | DURABLE GOODS # (01) | FL |
AS 5349027 | FDA (01) | FL |
T55392 | (02) | FL |