Healthcare Provider Details

I. General information

NPI: 1467044131
Provider Name (Legal Business Name): ASHLEY NICOLE SCHULTE PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2021
Last Update Date: 02/04/2021
Certification Date: 02/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 N ORANGE AVE STE 520
ORLANDO FL
32801-5202
US

IV. Provider business mailing address

670 HOLLY SPRINGS TER
OVIEDO FL
32765-5938
US

V. Phone/Fax

Practice location:
  • Phone: 407-992-0660
  • Fax: 407-992-7702
Mailing address:
  • Phone: 407-388-8330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: