Provider Demographics
NPI:1548276140
Name:SCHNEIDER, ANDREW MARC (MD)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:MARC
Last Name:SCHNEIDER
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 1:7351 W OAKLAND PARK BLVD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33319-7107
Mailing Address - Country:US
Mailing Address - Phone:954-749-6955
Mailing Address - Fax:954-578-2783
Practice Address - Street 1:7301 N UNIVERSITY DR STE 105
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-2909
Practice Address - Country:US
Practice Address - Phone:954-748-2500
Practice Address - Fax:954-749-6311
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0055189207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL062654600Medicaid
FLE95824Medicare UPIN
FL08956ZMedicare ID - Type Unspecified