Provider Demographics
NPI:1851368559
Name:SHULER, MAGDALENA F (MD, PHD)
Entity Type:Individual
Prefix:
First Name:MAGDALENA
Middle Name:F
Last Name:SHULER
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5150 N DAVIS HWY
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32503-2030
Mailing Address - Country:US
Mailing Address - Phone:850-476-6759
Mailing Address - Fax:850-484-5222
Practice Address - Street 1:2101 NORTHSIDE DR
Practice Address - Street 2:UNIT 704
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-3685
Practice Address - Country:US
Practice Address - Phone:850-747-3999
Practice Address - Fax:850-747-3699
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2018-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME88447207W00000X, 207WX0107X
GA044334207W00000X
ALMD.25586207W00000X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009935455Medicaid
GA044334OtherMEDICAL LICENSE
AL059091128OtherBCBS
5123939OtherCIGNA
A029OtherWELLCARE
AL009931435Medicaid
AL009935445Medicaid
2514119OtherGHI PPO
ALMD.25586OtherMEDICAL LICENSE
AL059091113OtherBCBS
FLME88447OtherMEDICAL LICENSE
7655199OtherAETNA
FL267922100Medicaid
FL81266OtherBCBS
GA044334OtherMEDICAL LICENSE
AL009935445Medicaid