Healthcare Provider Details

I. General information

NPI: 1508203100
Provider Name (Legal Business Name): KATHLEEN R SCHUEMANN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KATHLEEN M RELIHAN MD

II. Dates (important events)

Enumeration Date: 05/23/2013
Last Update Date: 07/26/2021
Certification Date: 06/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1335 SLIGH BLVD STE 200
ORLANDO FL
32806
US

IV. Provider business mailing address

1335 SLIGH BLVD STE 200
ORLANDO FL
32806
US

V. Phone/Fax

Practice location:
  • Phone: 407-649-6884
  • Fax: 407-245-7059
Mailing address:
  • Phone: 407-649-6884
  • Fax: 407-245-7059

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License NumberME137966
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: