Provider Demographics
NPI:1639294796
Name:SCHEER, MICHAEL L (DO)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:L
Last Name:SCHEER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:449621 US HIGHWAY 301
Mailing Address - Street 2:STE 110
Mailing Address - City:CALLAHAN
Mailing Address - State:FL
Mailing Address - Zip Code:32011-9348
Mailing Address - Country:US
Mailing Address - Phone:904-507-2692
Mailing Address - Fax:904-507-2693
Practice Address - Street 1:449621 US HIGHWAY 301
Practice Address - Street 2:STE 110
Practice Address - City:CALLAHAN
Practice Address - State:FL
Practice Address - Zip Code:32011-9348
Practice Address - Country:US
Practice Address - Phone:904-507-2692
Practice Address - Fax:904-507-2693
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS5845207R00000X
OH34002466207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL80673OtherBC/BS
FLCO1579Medicare UPIN
FLK3699Medicare PIN