Healthcare Provider Details

I. General information

NPI: 1376702183
Provider Name (Legal Business Name): ERIK MICHAEL SCHABERT D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2008
Last Update Date: 01/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4408 NW 36TH AVE
GAINESVILLE FL
32606-7215
US

IV. Provider business mailing address

9150 SW 49TH PL STE A
GAINESVILLE FL
32608-8145
US

V. Phone/Fax

Practice location:
  • Phone: 352-672-6272
  • Fax: 352-672-6306
Mailing address:
  • Phone: 352-672-6272
  • Fax: 352-672-6306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License NumberOS9641
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS9641
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: