MEDICARE: BRENT MARC SCHILLINGER MD

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	207N00000X	Dermatology Physician	ME0041920	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	:	1457332488
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENT MARC SCHILLINGER MD

Provider Business Mailing Address
First Line	:	3100 S FEDERAL HWY STE 8
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33483-3320
Country	:	US
Telephone Number	:	561-278-1362
Fax Number	:	561-278-4383

Provider Business Practice Location Address
First Line	:	3100 S FEDERAL HWY STE 8
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33483-3320
Country	:	US
Telephone Number	:	561-278-1362
Fax Number	:	561-278-4383

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

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	03/25/2020

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