Healthcare Provider Details

I. General information

NPI: 1487617585
Provider Name (Legal Business Name): MARVIN SCHREIBER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2006
Last Update Date: 08/04/2020
Certification Date: 08/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3418 PARKRIDGE CIR
SARASOTA FL
34243-1400
US

IV. Provider business mailing address

3418 PARKRIDGE CIR
SARASOTA FL
34243-1400
US

V. Phone/Fax

Practice location:
  • Phone: 941-894-6541
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License NumberME36501
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberME36501
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME36501
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: