Healthcare Provider Details
I. General information
NPI: 1619995412
Provider Name (Legal Business Name): PAMELA MARGARET SCHULER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/18/2006
Last Update Date: 01/15/2021
Certification Date: 01/12/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1600 SW ARCHER RD
GAINESVILLE FL
32610-3003
US
IV. Provider business mailing address
1465 S GRAND BLVD
SAINT LOUIS MO
63104-1003
US
V. Phone/Fax
- Phone: 352-273-6563
- Fax: 352-273-6250
- Phone: 314-268-6439
- Fax: 314-268-2798
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2080P0214X |
| Taxonomy | Pediatric Pulmonology Physician |
| License Number | R6B96 |
| License Number State | MO |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080P0214X |
| Taxonomy | Pediatric Pulmonology Physician |
| License Number | ME95260 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: