MEDICARE: DR. KEITH ALLEN SCHERTELL D.C.

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	111N00000X	Chiropractor	CH0007619	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	:	1902803018
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KEITH ALLEN SCHERTELL D.C.

Provider Business Mailing Address
First Line	:	784 BLANDING BLVD
Second Line	:	STE 106
City	:	ORANGE PARK
State	:	FL
Zip	:	32065-7724
Country	:	US
Telephone Number	:	904-272-4555
Fax Number	:	904-276-2521

Provider Business Practice Location Address
First Line	:	868 BLANDING BLVD
Second Line	:	STE 128
City	:	ORANGE PARK
State	:	FL
Zip	:	32065
Country	:	US
Telephone Number	:	904-272-4555
Fax Number	:	904-276-2521

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

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	07/08/2025

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