Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | ME0027792 | FL |
NPI | 1033161633 |
---|---|
Provider Name | Robert Schwartz |
First Address | Fort Myers, FL 33901-8226 |
Second Address | Fort Myers, FL 33901-8226 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2006 |
Last Update Date | 13/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D86342 | (02) | FL |