Provider Demographics
NPI:1003219825
Name:SCHULZE, COLIN DREW (DC)
Entity type:Individual
Prefix:DR
First Name:COLIN
Middle Name:DREW
Last Name:SCHULZE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8830 S TAMIAMI TRL
Mailing Address - Street 2:SUITE #130
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34238-3110
Mailing Address - Country:US
Mailing Address - Phone:941-552-6686
Mailing Address - Fax:
Practice Address - Street 1:8830 S TAMIAMI TRL
Practice Address - Street 2:SUITE #130
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34238-3110
Practice Address - Country:US
Practice Address - Phone:941-552-6686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-07
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH11072111N00000X
MN5880111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor