Provider Demographics
NPI:1679533897
Name:SCHELL, GINA C (DO)
Entity Type:Individual
Prefix:DR
First Name:GINA
Middle Name:C
Last Name:SCHELL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:GINA
Other - Middle Name:CHRISTINE
Other - Last Name:RAMIREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 10744
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33757-8744
Mailing Address - Country:US
Mailing Address - Phone:727-532-0002
Mailing Address - Fax:727-266-4943
Practice Address - Street 1:560 JACKSON ST N
Practice Address - Street 2:SUITE 302
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33705-1449
Practice Address - Country:US
Practice Address - Phone:727-895-9640
Practice Address - Fax:727-895-9692
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS8853207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00394133OtherRAILROAD MEDICARE NUMBER
FL273617900Medicaid
FLP00394133OtherRAILROAD MEDICARE NUMBER
FLI26057Medicare UPIN
FLU4318XMedicare PIN