Provider Demographics
NPI:1851547145
Name:ROBERT A SCHAMBERGER DO LLC
Entity Type:Organization
Organization Name:ROBERT A SCHAMBERGER DO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCHAMBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:407-365-3462
Mailing Address - Street 1:71 S CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-9025
Mailing Address - Country:US
Mailing Address - Phone:407-365-3462
Mailing Address - Fax:407-365-4305
Practice Address - Street 1:71 S CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-9025
Practice Address - Country:US
Practice Address - Phone:407-365-3462
Practice Address - Fax:407-365-4305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-18
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS4697207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL049136500Medicaid
FL049136500Medicaid
FL82679Medicare PIN