Provider Demographics
NPI:1811962814
Name:SCHULTZ, NEIL ARTHUR (MD)
Entity type:Individual
Prefix:MR
First Name:NEIL
Middle Name:ARTHUR
Last Name:SCHULTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2825 N STATE RD 7
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063
Mailing Address - Country:US
Mailing Address - Phone:954-973-4555
Mailing Address - Fax:954-970-7908
Practice Address - Street 1:2825 N STATE RD 7
Practice Address - Street 2:SUITE 200
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063
Practice Address - Country:US
Practice Address - Phone:954-973-4555
Practice Address - Fax:954-970-7908
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-22
Last Update Date:2009-10-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME33024207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL048113100Medicaid
FLD64839Medicare UPIN
FL96001Medicare PIN