MEDICARE: MARTIN N SCHNELL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	ME62430	FL
2	208M00000X	Hospitalist Physician	ME62430	FL
3	207Q00000X	Family Medicine Physician	ME62430	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	17690	OTHER	FL	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	4122079	OTHER	TN	BLUECROSS BLUESHIELD OF T

General Provider Information

NPI Number	:	1043283351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTIN N SCHNELL M.D.

Provider Business Mailing Address
First Line	:	PO BOX 2013
Second Line	:
City	:	LADY LAKE
State	:	FL
Zip	:	32158-2013
Country	:	US
Telephone Number	:	352-409-4404
Fax Number	:	352-324-6294

Provider Business Practice Location Address
First Line	:	9400 SAN JOSE BLVD
Second Line	:
City	:	HOWEY IN THE HILLS
State	:	FL
Zip	:	34737-5012
Country	:	US
Telephone Number	:	352-409-4404
Fax Number	:	352-324-6294

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	06/07/2021

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Directions to “ MARTIN N SCHNELL M.D.” Practice Location

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