MEDICARE: DR. RONALDO SCHKOLNIK 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	207L00000X	Anesthesiology Physician	ME 95122	FL

General Provider Information

NPI Number	:	1083823793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALDO SCHKOLNIK M.D

Provider Business Mailing Address
First Line	:	4240 GALT OCEAN DR
Second Line	:	APT #1504
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-6139
Country	:	US
Telephone Number	:	954-568-0186
Fax Number	:	954-568-0186

Provider Business Practice Location Address
First Line	:	4240 GALT OCEAN DR
Second Line	:	APT #1504
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-6139
Country	:	US
Telephone Number	:	954-568-0186
Fax Number	:	954-568-0186

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

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	04/30/2008

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