Healthcare Provider Details

I. General information

NPI: 1124235585
Provider Name (Legal Business Name): CARYN B SCHORR MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 05/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2699 STIRLING RD SUITE C403C
FORT LAUDERDALE FL
33312-6517
US

IV. Provider business mailing address

2699 STIRLING RD SUITE C403C
FT LAUDERDALE FL
33312-6517
US

V. Phone/Fax

Practice location:
  • Phone: 954-967-7888
  • Fax:
Mailing address:
  • Phone: 954-967-7888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME61143
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberME61143
License Number StateFL

VIII. Authorized Official

Name: DR. CARYN B SCHORR
Title or Position: PRESIDENT
Credential: M.D.
Phone: 954-967-7888