Provider Demographics
NPI:1033148614
Name:SCHULMAN, JEFFREY M (M D)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:M
Last Name:SCHULMAN
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5430 EAGLES POINT CIR APT 201
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-9180
Mailing Address - Country:US
Mailing Address - Phone:703-509-3905
Mailing Address - Fax:
Practice Address - Street 1:6440 W NEWBERRY RD STE 202
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605
Practice Address - Country:US
Practice Address - Phone:703-281-5007
Practice Address - Fax:703-281-3491
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2018-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME126011207V00000X
VA0101030655207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0101043338OtherVA LICENSE
FLME126011OtherMEDICAL LICENSE