Provider Demographics
NPI:1124593736
Name:SCHERER, ESTRELLA ELIZABETH (APRN)
Entity Type:Individual
Prefix:
First Name:ESTRELLA
Middle Name:ELIZABETH
Last Name:SCHERER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:ESTRELLA
Other - Middle Name:ELIZABETH
Other - Last Name:PEDROZA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:3300 S FISKE BLVD
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955-4306
Mailing Address - Country:US
Mailing Address - Phone:321-434-1771
Mailing Address - Fax:321-951-7408
Practice Address - Street 1:1350 HICKORY ST
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-3278
Practice Address - Country:US
Practice Address - Phone:321-434-1771
Practice Address - Fax:321-434-1775
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-10
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9352771363LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL101217200Medicaid
FLKN582OtherMEDICARE
FLQN822OtherHFMG MA