Provider Demographics
NPI:1376833640
Name:SCHNEIDER, ERICA R (ERICA SCHNEIDER, DO)
Entity Type:Individual
Prefix:DR
First Name:ERICA
Middle Name:R
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:ERICA SCHNEIDER, DO
Other - Prefix:MISS
Other - First Name:ERICA
Other - Middle Name:R
Other - Last Name:SCHNEIDER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ERICA SCHNEIDER
Mailing Address - Street 1:14100 58TH ST N
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33760-9900
Mailing Address - Country:US
Mailing Address - Phone:727-824-8181
Mailing Address - Fax:727-824-8137
Practice Address - Street 1:1344 22ND ST S
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33712-2744
Practice Address - Country:US
Practice Address - Phone:727-821-6701
Practice Address - Fax:727-824-8137
Is Sole Proprietor?:No
Enumeration Date:2011-04-07
Last Update Date:2023-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS11625207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL006515700Medicaid
FLGL890ZMedicare PIN