Provider Demographics
NPI:1841793866
Name:BRENT SCHILLINGER, M.D. PA
Entity Type:Organization
Organization Name:BRENT SCHILLINGER, M.D. PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:M
Authorized Official - Last Name:SCHILLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-278-1362
Mailing Address - Street 1:3100 S FEDERAL HWY STE 8
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483-3320
Mailing Address - Country:US
Mailing Address - Phone:561-278-1362
Mailing Address - Fax:561-819-5333
Practice Address - Street 1:3100 S FEDERAL HWY STE 8
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33483-3320
Practice Address - Country:US
Practice Address - Phone:561-278-1362
Practice Address - Fax:561-819-5333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-15
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME41920207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty