Provider Demographics
NPI:1578558821
Name:SCHWARTZBARD, JULIE BETH (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:BETH
Last Name:SCHWARTZBARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 160010
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-0001
Mailing Address - Country:US
Mailing Address - Phone:305-933-5993
Mailing Address - Fax:305-933-9415
Practice Address - Street 1:21000 NE 28TH AVE STE 205
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1402
Practice Address - Country:US
Practice Address - Phone:305-933-5993
Practice Address - Fax:305-933-9415
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2021-03-24
Deactivation Date:2006-03-23
Deactivation Code:
Reactivation Date:2006-03-27
Provider Licenses
StateLicense IDTaxonomies
FLME0072442084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL254796100Medicaid
FL254796100Medicaid