Individual
DR. PAUL N. SCHACKNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
509 SE RIVERSIDE DR STE 302, STUART, FL 34994-2579
(772) 287-9000
(772) 287-0507
Mailing address
509 SE RIVERSIDE DR STE 302, STUART, FL 34994-2579
(772) 287-9000
(772) 287-0507
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME55008
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063674600
—
FL
01
—
09423
BCBS
FL
Enumeration date
01/23/2006
Last updated
05/14/2022
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