Provider Demographics
NPI:1184083016
Name:SCHMITT, MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:SCHMITT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 OAKBRIDGE PKWY
Mailing Address - Street 2:SUITE 257
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33803-5996
Mailing Address - Country:US
Mailing Address - Phone:863-619-8916
Mailing Address - Fax:863-644-3562
Practice Address - Street 1:1100 OAKBRIDGE PKWY
Practice Address - Street 2:SUITE 257
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33803-5996
Practice Address - Country:US
Practice Address - Phone:863-619-8916
Practice Address - Fax:863-644-3562
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-20
Last Update Date:2016-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME59754207W00000X, 2083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine