Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | ME 60141 | FL |
NPI | 1013957174 |
---|---|
Provider Name | Jeffrey S Schottland |
First Address | Delray Beach, FL 33484-6534 |
Second Address | Delray Beach, FL 33484-6534 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D83065 | (02) | FL |