MEDICARE: DR. NIGEL A SCHULTZ DMD

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	122300000X	Dentist	11691	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194813485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NIGEL A SCHULTZ DMD

Provider Business Mailing Address
First Line	:	3830 S HWY A1A STE 1
Second Line	:
City	:	MELBOURNE BEACH
State	:	FL
Zip	:	32951-3152
Country	:	US
Telephone Number	:	321-728-0025
Fax Number	:	321-724-6538

Provider Business Practice Location Address
First Line	:	3830 S HWY A1A STE 1
Second Line	:
City	:	MELBOURNE BEACH
State	:	FL
Zip	:	32951-3152
Country	:	US
Telephone Number	:	321-728-0025
Fax Number	:	321-724-6538

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

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	03/07/2023

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