Provider Demographics
NPI:1083823793
Name:SCHKOLNIK, RONALDO (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALDO
Middle Name:
Last Name:SCHKOLNIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4240 GALT OCEAN DR
Mailing Address - Street 2:APT #1504
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-6139
Mailing Address - Country:US
Mailing Address - Phone:954-568-0186
Mailing Address - Fax:954-568-0186
Practice Address - Street 1:4240 GALT OCEAN DR
Practice Address - Street 2:APT #1504
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-6139
Practice Address - Country:US
Practice Address - Phone:954-568-0186
Practice Address - Fax:954-568-0186
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 95122207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAB92840Medicare UPIN