Healthcare Provider Details

I. General information

NPI: 1376732776
Provider Name (Legal Business Name): JULIE B. SCHWARTZBARD, M.D.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2007
Last Update Date: 10/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21000 NE 28TH AVE #205
AVENTURA FL
33180-1421
US

IV. Provider business mailing address

21000 NE 28TH AVE #205
AVENTURA FL
33180-1421
US

V. Phone/Fax

Practice location:
  • Phone: 305-933-5993
  • Fax: 305-792-9104
Mailing address:
  • Phone: 305-933-5993
  • Fax: 305-792-9104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. JULIE B SCHWARTZBARD
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 305-933-5993