Healthcare Provider Details

I. General information

NPI: 1063497592
Provider Name (Legal Business Name): LEE S SCHEINBART MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/07/2005
Last Update Date: 03/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1130 HICKORY ST
MELBOURNE FL
32901-1946
US

IV. Provider business mailing address

1223 GATEWAY DR
MELBOURNE FL
32901-2607
US

V. Phone/Fax

Practice location:
  • Phone: 321-725-4500
  • Fax: 321-952-6179
Mailing address:
  • Phone: 321-725-4500
  • Fax: 321-952-6179

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberME76141
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: