Provider Demographics
NPI:1003125311
Name:DR PAUL B SCHMID L L C
Entity Type:Organization
Organization Name:DR PAUL B SCHMID L L C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:B
Authorized Official - Last Name:SCHMID
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:407-365-3642
Mailing Address - Street 1:71 S CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-9025
Mailing Address - Country:US
Mailing Address - Phone:407-365-3642
Mailing Address - Fax:407-365-4305
Practice Address - Street 1:71 S CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-9025
Practice Address - Country:US
Practice Address - Phone:407-365-3642
Practice Address - Fax:407-365-4305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-04
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty