MEDICARE: SCHWARTZ AND SCHWARTZ MDPA

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	2084N0400X	Neurology Physician

General Provider Information

NPI Number	:	1376634246
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCHWARTZ AND SCHWARTZ MDPA

Provider Business Mailing Address
First Line	:	38 BARKLEY CIR
Second Line	:	SUITE 2
City	:	FORT MYERS
State	:	FL
Zip	:	33907-7526
Country	:	US
Telephone Number	:	239-936-1700
Fax Number	:	239-939-9062

Provider Business Practice Location Address
First Line	:	38 BARKLEY CIR
Second Line	:	SUITE 2
City	:	FORT MYERS
State	:	FL
Zip	:	33907-7526
Country	:	US
Telephone Number	:	239-936-1700
Fax Number	:	239-939-9062

Authorized Official
Title or Position	:	OFFICE MANAGER/ MED ASST
Name	:	TRACY L DAVIS
Credential	:
Telephone Number	:	239-936-1700

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	10/23/2007

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