Healthcare Provider Details

I. General information

NPI: 1942948542
Provider Name (Legal Business Name): JOSE FERNANDO HENRIQUEZ ZSCHECHER ME175740
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2022
Last Update Date: 08/16/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2021 E COMMERCIAL BLVD STE 207
FORT LAUDERDALE FL
33308-3754
US

IV. Provider business mailing address

5487 W ATLANTIC BLVD # 104
MARGATE FL
33063-5210
US

V. Phone/Fax

Practice location:
  • Phone: 954-932-0538
  • Fax:
Mailing address:
  • Phone: 954-932-0538
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number175740
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: