Healthcare Provider Details

I. General information

NPI: 1588177182
Provider Name (Legal Business Name): KELSEY ALEXANDRA SCHAEFFER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2017
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4308 ALTON RD STE 720
MIAMI BEACH FL
33140-4557
US

IV. Provider business mailing address

4308 ALTON RD STE 720
MIAMI BEACH FL
33140-4557
US

V. Phone/Fax

Practice location:
  • Phone: 305-405-6910
  • Fax: 305-405-6912
Mailing address:
  • Phone: 305-405-6910
  • Fax: 305-405-6912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9110778
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: