Provider Demographics
NPI:1346998564
Name:SCHWEIGEL, WANDA
Entity Type:Individual
Prefix:
First Name:WANDA
Middle Name:
Last Name:SCHWEIGEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1013
Mailing Address - Street 2:
Mailing Address - City:MINNEOLA
Mailing Address - State:FL
Mailing Address - Zip Code:34755-1013
Mailing Address - Country:US
Mailing Address - Phone:352-217-8000
Mailing Address - Fax:
Practice Address - Street 1:10900 LAKE MINNEOLA SHRS
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-9415
Practice Address - Country:US
Practice Address - Phone:352-217-8000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-16
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider