Individual
DR. BRIAN LEWIS SCHWAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1550 RIVERSIDE AVE, JACKSONVILLE, FL 32204-4161
(904) 356-2744
(904) 355-5747
Mailing address
12620-3 BEACH BLVD., PMB 309, JACKSONVILLE, FL 32246-7130
(904) 356-2744
(904) 355-5747
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME77040
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2512361
GHI
FL
01
—
286425
AVMED
FL
01
—
3310214480002
CIGNA
FL
01
—
44656
BLUE CROSS / BLUE SHIELD
FL
01
—
5963008
AETNA
FL
01
—
872263
FIRST HEALTH
FL
Enumeration date
10/19/2006
Last updated
07/08/2007
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