Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0204X | Pediatric Emergency Doctor | PA9115443 | FL |
NPI | 1144971185 |
---|---|
Provider Name | Katelyn Schwartz |
First Address | Debary, FL 32713-4384 |
Second Address | Orlando, FL 32839-3716 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2022 |
Last Update Date | 11/01/2022 |