MEDICARE: MARK H SCHUMACHER D.M.D., P.A.

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	1223G0001X	General Practice Dentistry	8425	FL

General Provider Information

NPI Number	:	1619904356
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK H SCHUMACHER D.M.D., P.A.

Provider Business Mailing Address
First Line	:	15755 OCEAN BREEZE LN
Second Line	:
City	:	WELLINGTON
State	:	FL
Zip	:	33414-7129
Country	:	US
Telephone Number	:	561-795-1978
Fax Number	:	561-795-9508

Provider Business Practice Location Address
First Line	:	685 ROYAL PALM BEACH BLVD
Second Line	:	SUITE 204
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-7642
Country	:	US
Telephone Number	:	561-795-1978
Fax Number	:	561-795-9508

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

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	07/08/2007

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