MEDICARE: DR. JUDITH PAMELA SCHAFFER DO

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	207Q00000X	Family Medicine Physician	OS5169	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427146166
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUDITH PAMELA SCHAFFER DO

Provider Business Mailing Address
First Line	:	12555 PALM RD
Second Line	:
City	:	N MIAMI
State	:	FL
Zip	:	33181
Country	:	US
Telephone Number	:	305-981-7654
Fax Number	:

Provider Business Practice Location Address
First Line	:	1750 NE 167TH ST
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-3017
Country	:	US
Telephone Number	:	305-949-6202
Fax Number	:	954-262-3993

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

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	07/08/2007

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