MEDICARE: DR. MATT SCHNELLER PHARMD

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	183500000X	Pharmacist	PS55816	FL

General Provider Information

NPI Number	:	1659804870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATT SCHNELLER PHARMD

Provider Business Mailing Address
First Line	:	13365 ARBOR POINTE CIR
Second Line	:	203
City	:	TAMPA
State	:	FL
Zip	:	33617-1044
Country	:	US
Telephone Number	:	608-393-3886
Fax Number	:

Provider Business Practice Location Address
First Line	:	13365 ARBOR POINTE CIR
Second Line	:	203
City	:	TAMPA
State	:	FL
Zip	:	33617-1044
Country	:	US
Telephone Number	:	608-393-3886
Fax Number	:

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

Provider Enumeration Date	:	04/05/2017
Last Update Date	:	04/05/2017

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