Healthcare Provider Details
I. General information
NPI: 1437504065
Provider Name (Legal Business Name): AMELIA MARIE SCHAUB MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/02/2016
Last Update Date: 06/24/2023
Certification Date: 06/24/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1600 SW ARCHER RD
GAINESVILLE FL
32610-0294
US
IV. Provider business mailing address
UNIVERSITY OF FLORIDA DEPARTMENT OF OB GYN PO BOX 100294
GAINESVILLE FL
32610-0294
US
V. Phone/Fax
- Phone: 352-273-7943
- Fax:
- Phone: 352-273-7943
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | ME160840 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VE0102X |
| Taxonomy | Reproductive Endocrinology Physician |
| License Number | ME160840 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: