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General NPI Number Information
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NPI Number | 1124235585
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Entity Type | Organization
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Legal Business Name | CARYN B SCHORR MD PA
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 05/13/2016
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Provider Practice Location Address
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Address Line | 2699 STIRLING RD SUITE C403C
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312-6517
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Country | US
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Telephone | 954-967-7888
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Fax |
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Provider Business Mailing Address
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Address Line | 2699 STIRLING RD SUITE C403C
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City | FT LAUDERDALE
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State | FL
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Zip | 33312-6517
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Country | US
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Telephone | 954-967-7888
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CARYN B SCHORR
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Credential | M.D.
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Telephone | 954-967-7888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | ME61143
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME61143
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License Number State | FL
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