MEDICARE: DR. HAL BERNARD UNSCHULD M.D.

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	207RR0500X	Rheumatology Physician	ME0033722	FL

General Provider Information

NPI Number	:	1700908324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HAL BERNARD UNSCHULD M.D.

Provider Business Mailing Address
First Line	:	5840 NW 120TH AVE
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33076-4036
Country	:	US
Telephone Number	:	954-752-8731
Fax Number	:	954-752-8916

Provider Business Practice Location Address
First Line	:	5840 NW 120TH AVE
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33076-4036
Country	:	US
Telephone Number	:	954-752-8731
Fax Number	:	954-752-8916

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

Provider Enumeration Date	:	04/04/2007
Last Update Date	:	04/22/2014

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