Provider Demographics
NPI:1518624899
Name:BRUCE SCHULMAN DPM PA
Entity Type:Organization
Organization Name:BRUCE SCHULMAN DPM PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHULMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:561-434-1228
Mailing Address - Street 1:6136 OAK BLUFF WAY
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-7136
Mailing Address - Country:US
Mailing Address - Phone:561-434-1228
Mailing Address - Fax:561-434-1228
Practice Address - Street 1:6136 OAK BLUFF WAY
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-7136
Practice Address - Country:US
Practice Address - Phone:561-434-1228
Practice Address - Fax:561-434-1228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-22
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty