1295857985 NPI number — MS. MARY ELIZABETH SCHWARTZ ARNP

Table of content: MS. MARY ELIZABETH SCHWARTZ ARNP (NPI 1295857985)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295857985 NPI number — MS. MARY ELIZABETH SCHWARTZ ARNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHWARTZ
Provider First Name:
MARY
Provider Middle Name:
ELIZABETH
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
ARNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1295857985
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/22/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 432620
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SOUTH MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33243-2620
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-740-8358
Provider Business Mailing Address Fax Number:
305-740-9632

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1550 MADRUGA AVE
Provider Second Line Business Practice Location Address:
SUITE 220
Provider Business Practice Location Address City Name:
CORAL GABLES
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33146-3039
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-740-8358
Provider Business Practice Location Address Fax Number:
305-740-9632
Provider Enumeration Date:
04/04/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163WN0002X , with the licence number:  ARNP624082 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 363LN0005X , with the licence number: 624082 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com