Provider Demographics
NPI:1417188681
Name:DREW SCHNITT MD PA
Entity Type:Organization
Organization Name:DREW SCHNITT MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DREW
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHNITT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-558-6353
Mailing Address - Street 1:1001 AVOCADO ISLE
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33315-1337
Mailing Address - Country:US
Mailing Address - Phone:954-558-6353
Mailing Address - Fax:206-202-1635
Practice Address - Street 1:1150 N 35TH AVE
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-5424
Practice Address - Country:US
Practice Address - Phone:888-352-3627
Practice Address - Fax:206-202-1635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-05
Last Update Date:2010-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME86088208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL265480600Medicaid
FLH76282Medicare UPIN
FL47940ZMedicare PIN