Provider Demographics
NPI:1275841660
Name:ROY H. SCHNAUSS, M.D. P.A.
Entity Type:Organization
Organization Name:ROY H. SCHNAUSS, M.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:ROY
Authorized Official - Middle Name:HARRIS
Authorized Official - Last Name:SCHNAUSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-359-2020
Mailing Address - Street 1:804 MARGARET ST
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32204-3224
Mailing Address - Country:US
Mailing Address - Phone:904-359-2020
Mailing Address - Fax:904-353-9040
Practice Address - Street 1:804 MARGARET ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32204-3224
Practice Address - Country:US
Practice Address - Phone:904-359-2020
Practice Address - Fax:904-353-9040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-20
Last Update Date:2010-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME13422261QS0132X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0132XAmbulatory Health Care FacilitiesClinic/CenterOphthalmologic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL042562100Medicaid
D52991Medicare UPIN