Provider Demographics
NPI:1659698223
Name:SCHNEIDER, JOEL ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:ALAN
Last Name:SCHNEIDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:21050 POINT PL APT 705
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-4075
Mailing Address - Country:US
Mailing Address - Phone:305-933-0980
Mailing Address - Fax:305-933-9082
Practice Address - Street 1:21050 POINT PL APT 705
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-4075
Practice Address - Country:US
Practice Address - Phone:305-933-0980
Practice Address - Fax:305-933-9082
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-22
Last Update Date:2010-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME113282085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD61416Medicare UPIN