MEDICARE: BRENT SCHILLINGER, M.D. 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
1	207N00000X	Dermatology Physician	ME41920	FL

General Provider Information

NPI Number	:	1841793866
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRENT SCHILLINGER, M.D. PA

Provider Business Mailing Address
First Line	:	3100 S FEDERAL HWY STE 8
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33483-3320
Country	:	US
Telephone Number	:	561-278-1362
Fax Number	:	561-819-5333

Provider Business Practice Location Address
First Line	:	3100 S FEDERAL HWY STE 8
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33483-3320
Country	:	US
Telephone Number	:	561-278-1362
Fax Number	:	561-819-5333

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. BRENT M SCHILLINGER
Credential	:	MD
Telephone Number	:	561-278-1362

Provider Enumeration Date	:	03/15/2018
Last Update Date	:	06/16/2018

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