MEDICARE: LARISSA SCHMIDT 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	213ES0103X	Foot & Ankle Surgery Podiatrist	PO3623	FL

General Provider Information

NPI Number	:	1801148093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LARISSA SCHMIDT DPM

Provider Business Mailing Address
First Line	:	PO BOX 770004
Second Line	:
City	:	WINTER GARDEN
State	:	FL
Zip	:	34777-0004
Country	:	US
Telephone Number	:	407-308-5058
Fax Number	:	407-602-0885

Provider Business Practice Location Address
First Line	:	13750 W COLONIAL DR STE 350-102
Second Line	:
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-4204
Country	:	US
Telephone Number	:	407-308-5058
Fax Number	:	407-602-0885

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

Provider Enumeration Date	:	10/11/2012
Last Update Date	:	06/02/2026

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