Healthcare Provider Details

I. General information

NPI: 1851447403
Provider Name (Legal Business Name): DONALD PAUL SCHWARTZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 11/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2684 SWAMP CABBAGE COURT
FORT MYERS FL
33901
US

IV. Provider business mailing address

2684 SWAMP CABBAGE COURT
FORT MYERS FL
33901
US

V. Phone/Fax

Practice location:
  • Phone: 239-939-2828
  • Fax:
Mailing address:
  • Phone: 239-939-2828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License NumberME15467
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: