Healthcare Provider Details

I. General information

NPI: 1982232328
Provider Name (Legal Business Name): SHEENA ELIZABETH SCHAAF DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHEENA ELIZABETH TADIKONDA DO

II. Dates (important events)

Enumeration Date: 03/31/2020
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2626 CAPITAL MEDICAL BLVD
TALLAHASSEE FL
32308-4402
US

IV. Provider business mailing address

2626 CAPITAL MEDICAL BLVD
TALLAHASSEE FL
32308-4402
US

V. Phone/Fax

Practice location:
  • Phone: 850-325-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberOP61515348
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberOS022444
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberOS23998
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: