Individual
JORDAN BLAKE SCHWARTZBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9325 GLADES RD, SUITE 207, BOCA RATON, FL 33434-3988
(561) 487-7575
(561) 487-7576
Mailing address
7740 BOYNTON BEACH BLVD, BOYNTON BEACH, FL 33437-3804
(561) 752-8000
(561) 752-8001
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME83158
FL
207ND0101X
MOHS-Micrographic Surgery Physician
ME83158
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43286Y
MEDICARE ID
FL
Enumeration date
06/20/2005
Last updated
10/05/2015
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