Healthcare Provider Details

I. General information

NPI: 1558218487
Provider Name (Legal Business Name): RYAN SCHLIP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/11/2026
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 TOMAHAWK DR
INDIAN HARBOUR BEACH FL
32937-6102
US

IV. Provider business mailing address

40 BRIXTON LN
SATELLITE BEACH FL
32937-2103
US

V. Phone/Fax

Practice location:
  • Phone: 321-848-4904
  • Fax:
Mailing address:
  • Phone: 321-848-4904
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: