MEDICARE: BENJAMIN A. SCHLEETER DC

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	111N00000X	Chiropractor	CH12211	FL

General Provider Information

NPI Number	:	1619407988
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BENJAMIN A. SCHLEETER DC

Provider Business Mailing Address
First Line	:	7104 LAIRD ST UNIT 17
Second Line	:
City	:	PANAMA CITY BEACH
State	:	FL
Zip	:	32408-7628
Country	:	US
Telephone Number	:	850-964-5400
Fax Number	:

Provider Business Practice Location Address
First Line	:	7104 LAIRD ST UNIT 17
Second Line	:
City	:	PANAMA CITY BEACH
State	:	FL
Zip	:	32408-7628
Country	:	US
Telephone Number	:	850-964-5400
Fax Number	:

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

Provider Enumeration Date	:	06/19/2017
Last Update Date	:	01/31/2025

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