Provider Demographics
NPI:1932195229
Name:SCHWARTZ, STEPHEN M
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:M
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1461 N PALM AVE
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33026-3228
Mailing Address - Country:US
Mailing Address - Phone:954-442-4429
Mailing Address - Fax:954-442-4442
Practice Address - Street 1:1461 N PALM AVE
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33026-3228
Practice Address - Country:US
Practice Address - Phone:954-442-4429
Practice Address - Fax:954-442-4442
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH11377183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist