Provider Demographics
NPI:1609854082
Name:SCHWARTZ, EUGENE F (MD)
Entity Type:Individual
Prefix:
First Name:EUGENE
Middle Name:F
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:793 DOUGLAS AVE
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-2566
Mailing Address - Country:US
Mailing Address - Phone:407-862-5824
Mailing Address - Fax:407-774-0464
Practice Address - Street 1:793 DOUGLAS AVE
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-2566
Practice Address - Country:US
Practice Address - Phone:407-862-5824
Practice Address - Fax:407-774-0464
Is Sole Proprietor?:No
Enumeration Date:2006-01-05
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME35615207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD58929Medicare UPIN
FL79801ZMedicare PIN