MEDICARE: CHRISTOPHER SCHNELL RD

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	133V00000X	Registered Dietitian	ND6510	FL

General Provider Information

NPI Number	:	1881575116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER SCHNELL RD

Provider Business Mailing Address
First Line	:	6442 HIDDEN DALE AVE
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-6927
Country	:	US
Telephone Number	:	407-303-9200
Fax Number	:

Provider Business Practice Location Address
First Line	:	1801 LEE RD STE 307
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-2101
Country	:	US
Telephone Number	:	407-303-9200
Fax Number	:

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

Provider Enumeration Date	:	09/11/2025
Last Update Date	:	09/11/2025

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