MEDICARE: DR. JEFFREY A SCHOEN DPM

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	213E00000X	Podiatrist	P0596	DC
2	213E00000X	Podiatrist	0101100862	VA
3	213E00000X	Podiatrist	01278	MD
4	213ES0103X	Foot & Ankle Surgery Podiatrist	PO3476	FL
5	213E00000X	Podiatrist	PO3476	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	:	1598826968
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY A SCHOEN DPM

Provider Business Mailing Address
First Line	:	915 W MONROE ST
Second Line	:	SUITE 200
City	:	JACKSONVILLE
State	:	FL
Zip	:	32204-1177
Country	:	US
Telephone Number	:	904-384-2240
Fax Number	:	904-384-6055

Provider Business Practice Location Address
First Line	:	1635 EAGLE HARBOR PKWY
Second Line	:	SUITE 5
City	:	ORANGE PARK
State	:	FL
Zip	:	32003-4827
Country	:	US
Telephone Number	:	904-384-2240
Fax Number	:	904-385-7777

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

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	12/07/2011

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Directions to “ DR. JEFFREY A SCHOEN DPM” Practice Location

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