MEDICARE: SCHKOLNIK CONSULTING LLC

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 95112	FL

General Provider Information

NPI Number	:	1124047147
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCHKOLNIK CONSULTING LLC

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

Authorized Official
Title or Position	:	MANAGER/MEMBER
Name	:	DR. RONALDO J SCHKOLNIK
Credential	:	M.D.
Telephone Number	:	954-568-0186

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	08/22/2020

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Directions to “SCHKOLNIK CONSULTING LLC ” Practice Location

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