Basic Information
| Provider Information | |||||||||
| NPI: | 1972591683 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHWARTZ | ||||||||
| FirstName: | MICHAEL | ||||||||
| MiddleName: | ALAN | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4306 ALTON RD | ||||||||
| Address2: | 3RD FLOOR | ||||||||
| City: | MIAMI BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331402840 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3055353337 | ||||||||
| FaxNumber: | 3055353324 | ||||||||
| Practice Location | |||||||||
| Address1: | 4306 ALTON RD | ||||||||
| Address2: | 3RD FLOOR | ||||||||
| City: | MIAMI BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331402840 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3055353337 | ||||||||
| FaxNumber: | 3055353324 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/07/2005 | ||||||||
| LastUpdateDate: | 07/19/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | ME00061671 | FL | N | Other Service Providers | Specialist | 207RH0003X | ME00061671 | FL | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology |
ID Information
| ID | Type | State | Issuer | Description | 272150300 | 05 | FL | MEDICAID |