Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | ME0036337 | FL |
NPI | 1013914720 |
---|---|
Provider Name | Kerry M Schwartz |
First Address | Orlando, FL 32803-1849 |
Second Address | Orlando, FL 32803-1849 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2005 |
Last Update Date | 15/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
060019791 | RRR (01) | FL |
11581 | FHHS (01) | FL |
212319 | AVMED (01) | FL |
2659048 | CIGNA (01) | FL |
4008556 | AETNA (01) | FL |
47355 | BCBS (01) | FL |
D55022 | (02) |