MEDICARE: DR. DAVID S SCHWARTZ MD

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	2085R0202X	Diagnostic Radiology Physician	ME32241	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	61272	OTHER		BCBS
2	ME32241	OTHER	FL	FLORIDA LICENSE

General Provider Information

NPI Number	:	1851330153
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID S SCHWARTZ MD

Provider Business Mailing Address
First Line	:	3230 CYPRESS MARSH DR
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33905-6250
Country	:	US
Telephone Number	:	239-694-5840
Fax Number	:

Provider Business Practice Location Address
First Line	:	3230 CYPRESS MARSH DR
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33905-6250
Country	:	US
Telephone Number	:	239-694-5840
Fax Number	:

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

Provider Enumeration Date	:	06/05/2006
Last Update Date	:	07/09/2007

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Directions to “ DR. DAVID S SCHWARTZ MD” Practice Location

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