Provider Demographics
NPI:1528132032
Name:SCHWARTZ, HOWARD BARUCH (MD)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:BARUCH
Last Name:SCHWARTZ
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 1:5430 MILITARY TRAIL
Mailing Address - Street 2:SUITE 62
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458
Mailing Address - Country:US
Mailing Address - Phone:561-741-5610
Mailing Address - Fax:
Practice Address - Street 1:5430 MILITARY TRL
Practice Address - Street 2:SUITE 62
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-2873
Practice Address - Country:US
Practice Address - Phone:561-741-5610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 87664207Q00000X
MI4301031927207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
080H262390OtherBLUE CROSS-BLUE CROSS
HS031927OtherCOMMERCIAL-COMMERCIAL NUMBER
MI458834610Medicaid
HS031927OtherCHAMPUS-CHAMPUS
HS031927OtherCOMMERCIAL-COMMERCIAL NUMBER
0H26239169Medicare ID - Type Unspecified