MEDICARE: CAROLINE CHANDLER SCHWALBE

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	390200000X	Student in an Organized Health Care Education/Training Program
2	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1841185865
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE CHANDLER SCHWALBE

Provider Business Mailing Address
First Line	:	1181 SALT MARSH CIR
Second Line	:
City	:	PONTE VEDRA
State	:	FL
Zip	:	32082-2543
Country	:	US
Telephone Number	:	904-868-6515
Fax Number	:

Provider Business Practice Location Address
First Line	:	1181 SALT MARSH CIR
Second Line	:
City	:	PONTE VEDRA
State	:	FL
Zip	:	32082-2543
Country	:	US
Telephone Number	:	904-868-6515
Fax Number	:

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

Provider Enumeration Date	:	06/10/2025
Last Update Date	:	06/10/2025

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Directions to “ CAROLINE CHANDLER SCHWALBE ” Practice Location

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