Provider Demographics
NPI:1679573869
Name:SCHNEIDER, MARC STEVEN (MD)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:STEVEN
Last Name:SCHNEIDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:12751 S CLEVELAND AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-7732
Mailing Address - Country:US
Mailing Address - Phone:239-277-9999
Mailing Address - Fax:239-277-3998
Practice Address - Street 1:12751 S CLEVELAND AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-7732
Practice Address - Country:US
Practice Address - Phone:239-277-9999
Practice Address - Fax:239-277-3998
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-28
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0050478202C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes202C00000XAllopathic & Osteopathic PhysiciansIndependent Medical Examiner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL12572Medicare ID - Type Unspecified
FLE91544Medicare UPIN