Provider Demographics
NPI:1669661260
Name:THOMAS J. SCHVEHLA, M.D., P.A.
Entity Type:Organization
Organization Name:THOMAS J. SCHVEHLA, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHVEHLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-364-2822
Mailing Address - Street 1:PO BOX 740260
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33474-0260
Mailing Address - Country:US
Mailing Address - Phone:561-364-2822
Mailing Address - Fax:561-364-2844
Practice Address - Street 1:1230 S FEDERAL HWY
Practice Address - Street 2:SUITE 102
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-6000
Practice Address - Country:US
Practice Address - Phone:561-364-2822
Practice Address - Fax:561-364-2844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-18
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00402142084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL09401OtherBLUE CROSS BLUE SHIELD
FL63804OtherCIGNA
FLK9507Medicare PIN