MEDICARE: PEGGY L SCHNEIDER 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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1295924496
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEGGY L SCHNEIDER M.D.

Provider Business Mailing Address
First Line	:	2623 S SEACREST BLVD STE 106
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33435-7531
Country	:	US
Telephone Number	:	561-736-7969
Fax Number	:	561-736-5199

Provider Business Practice Location Address
First Line	:	2623 S SEACREST BLVD STE 106
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33435-7531
Country	:	US
Telephone Number	:	561-736-7969
Fax Number	:	561-736-5199

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. PEGGY LYNN SCHNEIDER
Credential	:	M.D.
Telephone Number	:	561-736-7969

Provider Enumeration Date	:	10/24/2007
Last Update Date	:	10/24/2007

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