Provider Demographics
NPI:1003816844
Name:SCHAMBERGER, ROBERT A SR (DO, LLC)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:A
Last Name:SCHAMBERGER
Suffix:SR
Gender:M
Credentials:DO, LLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 S CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-9025
Mailing Address - Country:US
Mailing Address - Phone:407-365-3462
Mailing Address - Fax:407-365-4305
Practice Address - Street 1:71 S CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-9025
Practice Address - Country:US
Practice Address - Phone:407-365-3462
Practice Address - Fax:407-365-4305
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-22
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS4697207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL049136500Medicaid
E21482Medicare UPIN
FL82679Medicare ID - Type Unspecified