Healthcare Provider Details

I. General information

NPI: 1366316390
Provider Name (Legal Business Name): RILEY N SCHWARZ PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6950 OUTREACH WAY
NORTH PORT FL
34287-3405
US

IV. Provider business mailing address

1750 17TH ST STE E
SARASOTA FL
34234-8666
US

V. Phone/Fax

Practice location:
  • Phone: 941-529-0200
  • Fax: 855-212-2460
Mailing address:
  • Phone: 941-529-0200
  • Fax: 855-526-0216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9120944
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: