Basic Information
Provider Information
NPI: 1972510204
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHEIN
FirstName: ROLAND
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1611 NW 12TH AVE
Address2: BOX 016960 M851
City: MIAMI
State: FL
PostalCode: 331361005
CountryCode: US
TelephoneNumber: 3052434664
FaxNumber:  
Practice Location
Address1: 1611 NW 12TH AVE
Address2: BOX 016960 M851
City: MIAMI
State: FL
PostalCode: 331361005
CountryCode: US
TelephoneNumber: 3052434664
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/01/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0200XME-0039090FLY Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine

No ID Information.


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