Healthcare Provider Details

I. General information

NPI: 1346560653
Provider Name (Legal Business Name): OLGA SCHATZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2010
Last Update Date: 05/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6200 SW 73RD ST BOX 69
SOUTH MIAMI FL
33143-4679
US

IV. Provider business mailing address

498 STONEMONT DR
WESTON FL
33326-3500
US

V. Phone/Fax

Practice location:
  • Phone: 786-662-6554
  • Fax: 786-662-5334
Mailing address:
  • Phone: 754-779-7078
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME116098
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: