Provider Demographics
NPI:1669568069
Name:SCHNEIDER, ALAN R (MD)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:R
Last Name:SCHNEIDER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2234 COLONIAL BLVD
Mailing Address - Street 2:ATTN: MANAGED CARE DEPT.
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-1412
Mailing Address - Country:US
Mailing Address - Phone:239-931-7342
Mailing Address - Fax:239-931-7385
Practice Address - Street 1:5301 N DIXIE HWY
Practice Address - Street 2:SUITE 107
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33334-3447
Practice Address - Country:US
Practice Address - Phone:954-772-1220
Practice Address - Fax:954-771-5551
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2017-03-31
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Provider Licenses
StateLicense IDTaxonomies
FLME0042343208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL340011418OtherRAILROAD MEDICARE
FLD64682OtherVISTA
FL227339OtherAVMED
FL94147OtherBLUE CROSS BLUE SHIELD
FL2437OtherMEDICA HEALTH
FL048873900Medicaid
FL20105OtherNEIGHBORHOOD
FLP0003177OtherFLORIDA HEALTHCARE PLUS
FLP00888344OtherRAILROAD MEDICARE
FL6009782OtherGHI
FLQMP000003854849OtherMOLINA
FL002852100Medicaid
FL400001382000OtherPREFERRED CARE PARTNERS
FL4122325OtherAETNA
FL227339OtherAVMED
FLP00888344OtherRAILROAD MEDICARE
FL002852100Medicaid