Provider Demographics
NPI:1881658854
Name:SCHWARZ, MICHAEL A (PA-C)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:A
Last Name:SCHWARZ
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 LAMBROOK DR
Mailing Address - Street 2:
Mailing Address - City:DELAND
Mailing Address - State:FL
Mailing Address - Zip Code:32724-7365
Mailing Address - Country:US
Mailing Address - Phone:386-679-4944
Mailing Address - Fax:
Practice Address - Street 1:271 CAREW STREET
Practice Address - Street 2:SURGICAL PA DEPARTMENT
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01104-2377
Practice Address - Country:US
Practice Address - Phone:413-748-7353
Practice Address - Fax:413-748-7357
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9102063363AS0400X, 363AS0400X
MAPA7375363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLQ45769Medicare UPIN
FLU4933ZMedicare ID - Type UnspecifiedMEDICARE NO