MEDICARE: KRISTIN SCHWARZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174H00000X	Health Educator
2	176B00000X	Midwife	MW274	FL

General Provider Information

NPI Number	:	1346598737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTIN SCHWARZ

Provider Business Mailing Address
First Line	:	8308 WACCAMAW LN E
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-5539
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7950 S MILITARY TRL
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-8162
Country	:	US
Telephone Number	:	561-951-0404
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2012
Last Update Date	:	08/22/2013

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