MEDICARE: DR. MARTIN STEVEN SCHNIER D.O.

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	207QG0300X	Geriatric Medicine (Family Medicine) Physician	OS-0007221	FL

General Provider Information

NPI Number	:	1659320042
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARTIN STEVEN SCHNIER D.O.

Provider Business Mailing Address
First Line	:	39200 HOOKER HWY
Second Line	:	LAKESIDE MEDICAL CENTER
City	:	BELLE GLADE
State	:	FL
Zip	:	33430-5368
Country	:	US
Telephone Number	:	561-996-6571
Fax Number	:	561-996-8930

Provider Business Practice Location Address
First Line	:	39200 HOOKER HWY
Second Line	:	LAKESIDE MEDICAL CENTER
City	:	BELLE GLADE
State	:	FL
Zip	:	33430-5368
Country	:	US
Telephone Number	:	561-996-6571
Fax Number	:	561-996-8930

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

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	02/20/2015

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