Healthcare Provider Details

I. General information

NPI: 1396797957
Provider Name (Legal Business Name): JAMES J. SCHELL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7305 N MILITARY TRL
RIVIERA BEACH FL
33410-7417
US

IV. Provider business mailing address

8431 NASHUA DR
PALM BEACH GARDENS FL
33418-6049
US

V. Phone/Fax

Practice location:
  • Phone: 561-422-7508
  • Fax: 561-422-8351
Mailing address:
  • Phone: 561-694-8494
  • Fax: 561-694-8493

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License NumberC28606
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: