Provider Demographics
NPI:1598080350
Name:PAMELA ANN SCHURMAN DO PA
Entity Type:Organization
Organization Name:PAMELA ANN SCHURMAN DO PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCHURMAN-MAGEE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:850-994-2771
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-05
Last Update Date:2014-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL57208OtherBLUE CROSS BLUE SHIELD
AL591-62344OtherBLUE CROSS BLUE SHIELD
FL378348100Medicaid
FL57208OtherBLUE CROSS BLUE SHIELD
AL591-62344OtherBLUE CROSS BLUE SHIELD