MEDICARE: ELAINE MICHELLE SCHIFFMAN LMHC, RN

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	101YM0800X	Mental Health Counselor	MH7265	FL
2	163W00000X	Registered Nurse	RN1171022	FL

General Provider Information

NPI Number	:	1154753382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELAINE MICHELLE SCHIFFMAN LMHC, RN

Provider Business Mailing Address
First Line	:	650 N ANDREWS AVE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33311-7436
Country	:	US
Telephone Number	:	954-463-4217
Fax Number	:	954-764-3825

Provider Business Practice Location Address
First Line	:	650 N ANDREWS AVE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33311-7436
Country	:	US
Telephone Number	:	954-463-4217
Fax Number	:	954-764-3825

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

Provider Enumeration Date	:	07/30/2013
Last Update Date	:	07/30/2013

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