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NPI Code Detail

MEDICARE: MICHAEL SCHLOFMAN O.D P.L.L.C.

MEDICARE: MICHAEL SCHLOFMAN O.D P.L.L.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
1152W00000XOptometristOPC4299FL

General Provider Information

NPI Number : 1477708428
Entity Type Code : Organization
Provider Name (Legal Business Name) : MICHAEL SCHLOFMAN O.D P.L.L.C.
Provider Business Mailing Address
First Line : PO BOX 190
Second Line :
City : STARKE
State : FL
Zip : 32091-0190
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1105 S WALNUT ST
Second Line :
City : STARKE
State : FL
Zip : 32091-4413
Country : US
Telephone Number : 904-964-8076
Fax Number :
Authorized Official
Title or Position : DOCTOR
Name : DR. MICHAEL L SCHLOFMAN
Credential : O.D.
Telephone Number : 352-745-1374
Provider Enumeration Date : 11/18/2008
Last Update Date : 11/18/2008

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