Provider Demographics
NPI:1457336984
Name:SCHECHTMANN, NORBERTO S (MD)
Entity type:Individual
Prefix:
First Name:NORBERTO
Middle Name:S
Last Name:SCHECHTMANN
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 1:3300 S FISKE BLVD
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955-4306
Mailing Address - Country:US
Mailing Address - Phone:321-434-8531
Mailing Address - Fax:
Practice Address - Street 1:1421 MALABAR RD NE
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32907-2576
Practice Address - Country:US
Practice Address - Phone:321-434-8531
Practice Address - Fax:321-434-8533
Is Sole Proprietor?:No
Enumeration Date:2005-12-07
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY56894207RI0011X
MN67655207RI0011X
FLME160952207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL371448900Medicaid
FLUS949OtherMEDICARE HF
FL371448900Medicaid
E37714Medicare UPIN