Provider Demographics
NPI:1598702706
Name:SCHLEIN, SIDNEY R (DPM)
Entity Type:Individual
Prefix:
First Name:SIDNEY
Middle Name:R
Last Name:SCHLEIN
Suffix:
Gender:M
Credentials:DPM
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 771858
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34477-1858
Mailing Address - Country:US
Mailing Address - Phone:352-804-7060
Mailing Address - Fax:
Practice Address - Street 1:3828 SW 33RD TER
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-6250
Practice Address - Country:US
Practice Address - Phone:352-804-7060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-31
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO0002651213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL65532OtherBCBS
FL390386900Medicaid
FL480031100OtherRR MEDICARE
FL65532AMedicare PIN