Healthcare Provider Details

I. General information

NPI: 1629496286
Provider Name (Legal Business Name): HEATHER SCHWARTZMANN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2014
Last Update Date: 04/01/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5850 CORAL RIDGE DR
CORAL SPRINGS FL
33076-3378
US

IV. Provider business mailing address

5850 CORAL RIDGE DR
CORAL SPRINGS FL
33076-3378
US

V. Phone/Fax

Practice location:
  • Phone: 954-714-8200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberPA9107754
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: