Individual
BRIAN M SCHNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1620 MEDICAL LANE, SUITE 100, FT MYERS, FL 33907-1143
(239) 275-1164
(610) 271-4245
Mailing address
14275 MIDWAY ROAD, SUITE 400, ADDISON, TX 75001-3676
(610) 271-4245
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME71896
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002141000
—
FL
01
—
32608
BCBS
FL
01
—
4118676
BLUE CROSS TN
TN
01
—
4605457
CIGNA
FL
01
—
7079891
AETNA
FL
01
—
P01051887
RAILROAD MCR
FL
01
—
P118391
FREEDOM HEALTH
FL
01
—
P944518
OPTIMUM
FL
Enumeration date
04/01/2006
Last updated
09/28/2020
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