Healthcare Provider Details

I. General information

NPI: 1346998564
Provider Name (Legal Business Name): WANDA SCHWEIGEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2022
Last Update Date: 03/16/2022
Certification Date: 03/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10900 LAKE MINNEOLA SHRS
CLERMONT FL
34711-9415
US

IV. Provider business mailing address

PO BOX 1013
MINNEOLA FL
34755-1013
US

V. Phone/Fax

Practice location:
  • Phone: 352-217-8000
  • Fax:
Mailing address:
  • Phone: 352-217-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: