Provider Demographics
NPI:1417207143
Name:SCHUSTER, ERICA (PA-C)
Entity Type:Individual
Prefix:MS
First Name:ERICA
Middle Name:
Last Name:SCHUSTER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:ERICA
Other - Middle Name:SCHUSTER
Other - Last Name:SANCHEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:728 SELVA LAKES CIR
Mailing Address - Street 2:
Mailing Address - City:ATLANTIC BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32233-4368
Mailing Address - Country:US
Mailing Address - Phone:904-349-8784
Mailing Address - Fax:
Practice Address - Street 1:728 SELVA LAKES CIR
Practice Address - Street 2:
Practice Address - City:ATLANTIC BEACH
Practice Address - State:FL
Practice Address - Zip Code:32233-4368
Practice Address - Country:US
Practice Address - Phone:904-349-8784
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-10
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9106664363A00000X
CA52092363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant