Healthcare Provider Details

I. General information

NPI: 1275376451
Provider Name (Legal Business Name): JOHN MICHAEL SCHUETZ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2024
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23450 VIA COCONUT PT FL 2
ESTERO FL
34135-1877
US

IV. Provider business mailing address

PO BOX 2147
FORT MYERS FL
33902-2147
US

V. Phone/Fax

Practice location:
  • Phone: 394-680-1502
  • Fax: 239-343-4056
Mailing address:
  • Phone: 239-468-0150
  • Fax: 239-343-4056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11040702
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9531134
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: