Provider Demographics
NPI:1528056884
Name:SCHNELL, STEVEN LEONARD (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:LEONARD
Last Name:SCHNELL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:210 JUPITER LAKES BLVD
Mailing Address - Street 2:STE 3104
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-7191
Mailing Address - Country:US
Mailing Address - Phone:561-747-4994
Mailing Address - Fax:561-575-9104
Practice Address - Street 1:210 JUPITER LAKES BLVD
Practice Address - Street 2:STE 3104
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-7191
Practice Address - Country:US
Practice Address - Phone:561-747-4994
Practice Address - Fax:561-575-9104
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-11
Last Update Date:2011-10-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME38499207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL066910500Medicaid
FL066910500Medicaid
D57140Medicare UPIN