Provider Demographics
NPI:1366804585
Name:SCHMITT, KYLE
Entity type:Individual
Prefix:
First Name:KYLE
Middle Name:
Last Name:SCHMITT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8241 SW 91ST ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-7343
Mailing Address - Country:US
Mailing Address - Phone:305-989-9106
Mailing Address - Fax:
Practice Address - Street 1:21110 BISCAYNE BLVD STE 400
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1252
Practice Address - Country:US
Practice Address - Phone:305-918-7050
Practice Address - Fax:305-918-7051
Is Sole Proprietor?:No
Enumeration Date:2016-03-26
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1585612086S0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care