MEDICARE: RHEA SCHULMAN PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	90498	FL

General Provider Information

NPI Number	:	1083204556
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RHEA SCHULMAN PA-C

Provider Business Mailing Address
First Line	:	6935 ASHTON ST
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-6044
Country	:	US
Telephone Number	:	423-779-8046
Fax Number	:

Provider Business Practice Location Address
First Line	:	6692 SW SILVER WOLF DR
Second Line	:
City	:	PALM CITY
State	:	FL
Zip	:	34990-8875
Country	:	US
Telephone Number	:	772-249-5246
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2021
Last Update Date	:	01/19/2021

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