Healthcare Provider Details

I. General information

NPI: 1003130071
Provider Name (Legal Business Name): LORI BETH SCHMERLING D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2010
Last Update Date: 02/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 NW 95TH ST
MIAMI FL
33150-2038
US

IV. Provider business mailing address

2745 S PARKVIEW DR
HALLANDALE BEACH FL
33009-2900
US

V. Phone/Fax

Practice location:
  • Phone: 305-835-6000
  • Fax:
Mailing address:
  • Phone: 305-992-2551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberOS10910
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: