Provider Demographics
NPI:1407855174
Name:SCHAFFER, STARLEEN CELESTE (MD)
Entity Type:Individual
Prefix:MRS
First Name:STARLEEN
Middle Name:CELESTE
Last Name:SCHAFFER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:13000 US HIGHWAY 1
Mailing Address - Street 2:SUITE 4
Mailing Address - City:SEBASTIAN
Mailing Address - State:FL
Mailing Address - Zip Code:32958-3773
Mailing Address - Country:US
Mailing Address - Phone:772-388-4000
Mailing Address - Fax:772-388-4019
Practice Address - Street 1:13000 US HIGHWAY 1
Practice Address - Street 2:SUITE 4
Practice Address - City:SEBASTIAN
Practice Address - State:FL
Practice Address - Zip Code:32958-3773
Practice Address - Country:US
Practice Address - Phone:772-388-4000
Practice Address - Fax:772-388-4019
Is Sole Proprietor?:No
Enumeration Date:2005-07-15
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME81334207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL110215939OtherRAILROAD MEDICARE
FL110215939OtherRAILROAD MEDICARE
FLH27795Medicare UPIN