MEDICARE: THOMAS J. SCHVEHLA, 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	2084P0804X	Child & Adolescent Psychiatry Physician	ME0040214	FL
2	2084P0800X	Psychiatry Physician	ME0040214	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	09401	OTHER	FL	BLUE CROSS BLUE SHIELD
2	63804	OTHER	FL	CIGNA

General Provider Information

NPI Number	:	1669661260
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THOMAS J. SCHVEHLA, M.D., P.A.

Provider Business Mailing Address
First Line	:	PO BOX 740260
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33474-0260
Country	:	US
Telephone Number	:	561-364-2822
Fax Number	:	561-364-2844

Provider Business Practice Location Address
First Line	:	1230 S FEDERAL HWY
Second Line	:	SUITE 102
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33435-6000
Country	:	US
Telephone Number	:	561-364-2822
Fax Number	:	561-364-2844

Authorized Official
Title or Position	:	PRESIDENT
Name	:	THOMAS J. SCHVEHLA
Credential	:	M.D.
Telephone Number	:	561-364-2822

Provider Enumeration Date	:	10/18/2007
Last Update Date	:	10/18/2007

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Directions to “THOMAS J. SCHVEHLA, M.D., P.A. ” Practice Location

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