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Individual
WILLIAM IVAN SCHWARTZ
Active
Individual
WILLIAM IVAN SCHWARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS003774L
PA
207Q00000X
Family Medicine Physician
Primary
OS7404
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251582200
—
FL
01
—
45512
BCBS GROUP NUMBER
FL
01
—
57483
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/20/2006
Last updated
08/27/2020
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