Provider Demographics
NPI:1427443191
Name:SCHWITZER, JONATHAN A (MD)
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:A
Last Name:SCHWITZER
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 1:4300 N UNIVERSITY DR STE A202
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33351-6244
Mailing Address - Country:US
Mailing Address - Phone:954-749-3040
Mailing Address - Fax:954-749-3090
Practice Address - Street 1:4300 N UNIVERSITY DR STE A202
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33351-6244
Practice Address - Country:US
Practice Address - Phone:954-749-3040
Practice Address - Fax:954-749-3090
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-31
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY310169-01208200000X
390200000X
FLME0156357208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program