Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | ME76141 | FL |
NPI | 1063497592 |
---|---|
Provider Name | Lee S Scheinbart |
First Address | Melbourne, FL 32901-2607 |
Second Address | Melbourne, FL 32901-1946 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2005 |
Last Update Date | 02/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
254713900 | (05) | FL |
830005240 | RR MEDICARE (01) | FL |
G77341 | (02) |