Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | CH5960 | FL |
NPI | 1740495704 |
---|---|
Provider Name | Dr. Michael Todd Schaefer I |
First Address | Saint Petersburg, FL 33703-3428 |
Second Address | Saint Petersburg, FL 33710-4236 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2007 |
Last Update Date | 08/07/2007 |