Healthcare Provider Details

I. General information

NPI: 1225080310
Provider Name (Legal Business Name): JONATHAN SCHWARTZMAN D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 02/19/2024
Certification Date: 02/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 THOMPSON ST STE A
HENDERSONVILLE NC
28792-2895
US

IV. Provider business mailing address

2830 CASA ALOMA WAY
WINTER PARK FL
32792-2272
US

V. Phone/Fax

Practice location:
  • Phone: 828-697-3232
  • Fax: 828-698-0125
Mailing address:
  • Phone: 407-678-5554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS 9607
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2020-02141
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: