Basic Information
Provider Information
NPI: 1528194438
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHUMANN
FirstName: ESTHER
MiddleName: C
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4440 FRUITVILLE RD
Address2:  
City: SARASOTA
State: FL
PostalCode: 342321926
CountryCode: US
TelephoneNumber: 9413004440
FaxNumber: 4144041760
Practice Location
Address1: 1301 W COLONIAL DR
Address2:  
City: ORLANDO
State: FL
PostalCode: 328047133
CountryCode: US
TelephoneNumber: 4072461946
FaxNumber: 8558955749
Other Information
ProviderEnumerationDate: 02/26/2007
LastUpdateDate: 08/06/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/06/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XME 95001FLY Allopathic & Osteopathic PhysiciansFamily Medicine 

ID Information
IDTypeStateIssuerDescription
3647701FLBLUECROSS BLUESHIELD FLOTHER
01936820005FL MEDICAID
0204011905NY MEDICAID


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