Basic Information
Provider Information
NPI: 1518900638
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHACHERE
FirstName: RONALD
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7800 W OAKLAND PARK BLVD
Address2: SUITE E-214
City: SUNRISE
State: FL
PostalCode: 333516741
CountryCode: US
TelephoneNumber: 9543186590
FaxNumber: 9543186604
Practice Location
Address1: 1208 N UNIVERSITY DR
Address2:  
City: PLANTATION
State: FL
PostalCode: 333224724
CountryCode: US
TelephoneNumber: 9545830412
FaxNumber: 9545843906
Other Information
ProviderEnumerationDate: 06/14/2006
LastUpdateDate: 09/23/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XOS3894FLY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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