Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | ME95441 | FL |
N | 207VG0400X | Gynecologist | ME95441 | FL |
NPI | 1720001852 |
---|---|
Provider Name | Julie D Schneider |
First Address | Ormond Beach, FL 32173-0729 |
Second Address | Ormond Beach, FL 32174-3181 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 25/03/2014 |