Individual
MICHAEL R SCHOENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3515 E FLETCHER AVE, TAMPA, FL 33613-4706
(813) 974-8900
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
5956
OH
103G00000X
Clinical Neuropsychologist
Primary
PY7815
FL
103T00000X
Psychologist
PY7815
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75471
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/17/2006
Last updated
03/19/2021
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