Provider Demographics
NPI:1083204556
Name:SCHULMAN, RHEA (PA-C)
Entity Type:Individual
Prefix:
First Name:RHEA
Middle Name:
Last Name:SCHULMAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6935 ASHTON ST
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-6044
Mailing Address - Country:US
Mailing Address - Phone:423-779-8046
Mailing Address - Fax:
Practice Address - Street 1:6692 SW SILVER WOLF DR
Practice Address - Street 2:
Practice Address - City:PALM CITY
Practice Address - State:FL
Practice Address - Zip Code:34990-8875
Practice Address - Country:US
Practice Address - Phone:772-249-5246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-19
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL90498363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant