MEDICARE: CATHERINE L SCHANE MD

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	207L00000X	Anesthesiology Physician	ME105535	FL

General Provider Information

NPI Number	:	1760482483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE L SCHANE MD

Provider Business Mailing Address
First Line	:	1625 LANCASHIRE DR
Second Line	:
City	:	VENICE
State	:	FL
Zip	:	34293-0312
Country	:	US
Telephone Number	:	941-320-3911
Fax Number	:

Provider Business Practice Location Address
First Line	:	1625 LANCASHIRE DR
Second Line	:
City	:	VENICE
State	:	FL
Zip	:	34293-0312
Country	:	US
Telephone Number	:	941-320-3911
Fax Number	:

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

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	05/20/2016

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