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General NPI Number Information
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NPI Number | 1477671220
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Entity Type | Individual
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Provider Name | GARY JOHN SCHECODNIC M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | FLORIDA POWER AND LIGHT COMPANY 700 UNIVERSE BLVD. JB JNS
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City | JUNO BEACH
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State | FL
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Zip | 33408
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Country | US
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Telephone | 561-691-7196
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Fax | 561-694-4881
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Provider Business Mailing Address
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Address Line | 12 S. SEWALLS POINT RD.
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City | SEWALLS POINT
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State | FL
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Zip | 34996
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Country | US
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Telephone | 772-781-2515
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Fax | 772-781-2515
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 40814
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License Number State | FL
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