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NPI Code Detail

MEDICARE: MICHAEL R SCHOENBERG PHD

MEDICARE: MICHAEL R SCHOENBERG PHD
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
1103G00000XClinical Neuropsychologist5956OH
2103T00000XPsychologistPY7815FL
3103G00000XClinical NeuropsychologistPY7815FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
175471OTHERFLBLUE CROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073531463
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL R SCHOENBERG PHD
Provider Business Mailing Address
First Line : PO BOX 917770
Second Line :
City : ORLANDO
State : FL
Zip : 32891-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3515 E FLETCHER AVE
Second Line :
City : TAMPA
State : FL
Zip : 33613-4706
Country : US
Telephone Number : 813-974-8900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 03/19/2021

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