Provider Demographics
NPI:1043230006
Name:SCHROEDER, RHONDA HAZEL (DC)
Entity Type:Individual
Prefix:DR
First Name:RHONDA
Middle Name:HAZEL
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:RHONDA
Other - Middle Name:HAZEL
Other - Last Name:FROSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3962 5TH AVE N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33713-7523
Mailing Address - Country:US
Mailing Address - Phone:727-327-1717
Mailing Address - Fax:727-322-9827
Practice Address - Street 1:3962 5TH AVE N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33713-7523
Practice Address - Country:US
Practice Address - Phone:727-327-1717
Practice Address - Fax:727-322-9827
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7881111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL381272300Medicaid
FL592663573OtherTID