Provider Demographics
NPI:1225034259
Name:SCHWARTZ, DAVID (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5931 S UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-6110
Mailing Address - Country:US
Mailing Address - Phone:954-252-3339
Mailing Address - Fax:954-252-3315
Practice Address - Street 1:5931 S UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-6110
Practice Address - Country:US
Practice Address - Phone:954-252-3339
Practice Address - Fax:954-252-3315
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-23
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7362111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL381337100Medicaid
FL55637YMedicare PIN
FL381337100Medicaid