Provider Demographics
NPI:1023380516
Name:ROSANN SCHWARTZ, M.D., P.A.
Entity Type:Organization
Organization Name:ROSANN SCHWARTZ, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSANN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-261-8404
Mailing Address - Street 1:700 2ND AVE N.
Mailing Address - Street 2:#304
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5702
Mailing Address - Country:US
Mailing Address - Phone:239-261-8404
Mailing Address - Fax:239-649-4555
Practice Address - Street 1:700 2ND AVE N.
Practice Address - Street 2:#304
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5702
Practice Address - Country:US
Practice Address - Phone:239-261-8404
Practice Address - Fax:239-649-4555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-31
Last Update Date:2012-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL038503207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL79648Medicare UPIN