Provider Demographics
NPI:1972511475
Name:SCHWARTZ, TODD D (DO)
Entity type:Individual
Prefix:DR
First Name:TODD
Middle Name:D
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1130 TEN ROD RD
Mailing Address - Street 2:D201
Mailing Address - City:NORTH KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02852-4161
Mailing Address - Country:US
Mailing Address - Phone:401-295-8655
Mailing Address - Fax:401-295-8335
Practice Address - Street 1:201 NW 82ND AVE STE 103
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-1853
Practice Address - Country:US
Practice Address - Phone:954-693-0004
Practice Address - Fax:954-693-4345
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2023-08-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLOS57622085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL271164800Medicaid