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Individual

KERRY M SCHWARTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236-5638
(407) 848-4022
Mailing address
1126 READING DR, ORLANDO, FL 32804-6730
(407) 848-4022

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME0036337
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060019791
RRR
FL
01
11581
FHHS
FL
01
212319
AVMED
FL
01
2659048
CIGNA
FL
01
4008556
AETNA
FL
01
47355
BCBS
FL
Enumeration date
07/07/2005
Last updated
03/02/2025
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