Provider Demographics
NPI:1376732776
Name:JULIE B. SCHWARTZBARD, M.D.
Entity Type:Organization
Organization Name:JULIE B. SCHWARTZBARD, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:B
Authorized Official - Last Name:SCHWARTZBARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-933-5993
Mailing Address - Street 1:21000 NE 28TH AVE
Mailing Address - Street 2:#205
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1421
Mailing Address - Country:US
Mailing Address - Phone:305-933-5993
Mailing Address - Fax:305-792-9104
Practice Address - Street 1:21000 NE 28TH AVE
Practice Address - Street 2:#205
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1421
Practice Address - Country:US
Practice Address - Phone:305-933-5993
Practice Address - Fax:305-792-9104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-22
Last Update Date:2010-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
K1018Medicare PIN
FLP00846619Medicare PIN
FLE0231YMedicare PIN