Provider Demographics
NPI:1639148885
Name:SCHOLL, JOHN M (DPM)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:M
Last Name:SCHOLL
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1501 N US HIGHWAY 441
Mailing Address - Street 2:SUITE 1304
Mailing Address - City:THE VILLAGES
Mailing Address - State:FL
Mailing Address - Zip Code:32159-8999
Mailing Address - Country:US
Mailing Address - Phone:352-753-5600
Mailing Address - Fax:352-750-3365
Practice Address - Street 1:1501 N US HIGHWAY 441
Practice Address - Street 2:SUITE 1304
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32159-8999
Practice Address - Country:US
Practice Address - Phone:352-753-5600
Practice Address - Fax:352-750-3365
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO 2149213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00892722OtherRAILROAD MEDICARE
FL1076320001Medicare NSC
FLP00892722OtherRAILROAD MEDICARE
FL65299XMedicare PIN