Healthcare Provider Details

I. General information

NPI: 1518257187
Provider Name (Legal Business Name): EDWARD MICHAEL SCHMITT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2011
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 LIELMANIS AVE
HURLBURT FIELD FL
32544-5613
US

IV. Provider business mailing address

7004 CANOPY CREEK CV
NICEVILLE FL
32578-1524
US

V. Phone/Fax

Practice location:
  • Phone: 850-881-2129
  • Fax:
Mailing address:
  • Phone: 330-635-8788
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number29531
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: