MEDICARE: SHERI SCHWEITZER MD

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	2085R0202X	Diagnostic Radiology Physician	ME80582	FL

General Provider Information

NPI Number	:	1053346999
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERI SCHWEITZER MD

Provider Business Mailing Address
First Line	:	625 CRICKLEWOOD TERRACE
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1343 SOUTH INTERNATIONAL PARKWAY
Second Line	:	SUITE 1351
City	:	LAKE MARY
State	:	FL
Zip	:	32746
Country	:	US
Telephone Number	:	407-657-7979
Fax Number	:

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

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	09/24/2013

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