Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | ME63694 | FL |
NPI | 1043272842 |
---|---|
Provider Name | Patricia A. Schroeder |
First Address | Tampa, FL 33622-5317 |
Second Address | Jacksonville Beach, FL 32250-3209 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2006 |
Last Update Date | 26/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
372685100 | (05) | FL |
F57337 | (02) | FL |