Healthcare Provider Details

I. General information

NPI: 1033148614
Provider Name (Legal Business Name): JEFFREY M SCHULMAN M. D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 06/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6440 W NEWBERRY RD STE 202
GAINESVILLE FL
32605
US

IV. Provider business mailing address

5430 EAGLES POINT CIR APT 201
SARASOTA FL
34231-9180
US

V. Phone/Fax

Practice location:
  • Phone: 703-281-5007
  • Fax: 703-281-3491
Mailing address:
  • Phone: 703-509-3905
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME126011
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number0101030655
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: