Schwartzberg, Jordan Blake

Schwartzberg, Jordan Blake is an individual health care provider with primary practice located at 9325 Glades Rd Suite 207, Boca Raton FL 33434-3988. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Schwartzberg, Jordan Blake can be contacted via phone (561) 487-7575.

Contact Information

Primary practice address
9325 Glades Rd Suite 207 Boca Raton FL 33434-3988
Fax: (561) 487-7576
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X ME83158 Florida
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME83158 Florida

Profile Details

NPI number 1265437891
LBN Legal business name Schwartzberg, Jordan Blake
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Oct 5th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265437891 NPPES
Florida Other 43286Y MEDICARE ID

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