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NPI Code Detail

MEDICARE: NIGEL SCHULTZ DMD PA

MEDICARE: NIGEL SCHULTZ DMD PA
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
1122300000XDentist11691FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
211691OTHERFLDENTIST LIC

General Provider Information

NPI Number : 1578651865
Entity Type Code : Organization
Provider Name (Legal Business Name) : NIGEL SCHULTZ DMD PA
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 : OWNER PRESIDENT
Name : DR. NIGEL A SCHULTZ
Credential : DMD
Telephone Number : 321-728-0025
Provider Enumeration Date : 10/11/2006
Last Update Date : 03/07/2023

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