Healthcare Provider Details

I. General information

NPI: 1780621490
Provider Name (Legal Business Name): VERONICA LEE SCHIMP DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 11/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 W MILLER ST
ORLANDO FL
32806-3910
US

IV. Provider business mailing address

105 W MILLER ST
ORLANDO FL
32806-3910
US

V. Phone/Fax

Practice location:
  • Phone: 407-648-3800
  • Fax: 407-425-5203
Mailing address:
  • Phone: 407-648-3800
  • Fax: 407-425-5203

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number5101012362
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License NumberOS10385
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: