Healthcare Provider Details

I. General information

NPI: 1952650277
Provider Name (Legal Business Name): BETSY K SCHWARTZ CLC, PCD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2012
Last Update Date: 01/31/2020
Certification Date: 01/31/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2568 W MESA VERDE DR
BEVERLY HILLS FL
34465-3079
US

IV. Provider business mailing address

PO BOX 641114
BEVERLY HILLS FL
34464-1114
US

V. Phone/Fax

Practice location:
  • Phone: 352-527-3550
  • Fax:
Mailing address:
  • Phone: 352-527-3550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: