MEDICARE: MRS. STARLEEN CELESTE SCHAFFER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME81334	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	110215939	OTHER	FL	RAILROAD MEDICARE

General Provider Information

NPI Number	:	1407855174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. STARLEEN CELESTE SCHAFFER M.D.

Provider Business Mailing Address
First Line	:	13000 US HIGHWAY 1
Second Line	:	SUITE 4
City	:	SEBASTIAN
State	:	FL
Zip	:	32958-3773
Country	:	US
Telephone Number	:	772-388-4000
Fax Number	:	772-388-4019

Provider Business Practice Location Address
First Line	:	13000 US HIGHWAY 1
Second Line	:	SUITE 4
City	:	SEBASTIAN
State	:	FL
Zip	:	32958-3773
Country	:	US
Telephone Number	:	772-388-4000
Fax Number	:	772-388-4019

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2005
Last Update Date	:	07/06/2010

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