Provider Demographics
NPI:1215017892
Name:SCHURMAN, PAMELA ANN (DO)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:ANN
Last Name:SCHURMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:PAMELA
Other - Middle Name:ANN
Other - Last Name:SCHURMAN-MAGEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:4498 HIGHWAY 90
Mailing Address - Street 2:
Mailing Address - City:PACE
Mailing Address - State:FL
Mailing Address - Zip Code:32571-2061
Mailing Address - Country:US
Mailing Address - Phone:850-994-2771
Mailing Address - Fax:850-994-2832
Practice Address - Street 1:4498 HIGHWAY 90
Practice Address - Street 2:
Practice Address - City:PACE
Practice Address - State:FL
Practice Address - Zip Code:32571-2061
Practice Address - Country:US
Practice Address - Phone:850-994-2771
Practice Address - Fax:850-994-2832
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS7000208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL378348100Medicaid
AL592-31836OtherBCBS ALABAMA
FL378348100Medicaid
FL57208WMedicare PIN
FL378348100Medicaid