MEDICARE: ROBERT SCHOENFELD MD

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	2085R0202X	Diagnostic Radiology Physician	ME33694	FL

General Provider Information

NPI Number	:	1689660607
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT SCHOENFELD MD

Provider Business Mailing Address
First Line	:	9920 MENANDER WOOD CT
Second Line	:
City	:	ODESSA
State	:	FL
Zip	:	33556-2448
Country	:	US
Telephone Number	:	813-792-9945
Fax Number	:

Provider Business Practice Location Address
First Line	:	9920 MENANDER WOOD CT
Second Line	:
City	:	ODESSA
State	:	FL
Zip	:	33556-2448
Country	:	US
Telephone Number	:	813-792-9945
Fax Number	:

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

Provider Enumeration Date	:	09/26/2005
Last Update Date	:	07/08/2007

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