Provider Demographics
NPI:1245296086
Name:TSENG, SCHEFFER CG (MD)
Entity type:Individual
Prefix:DR
First Name:SCHEFFER
Middle Name:CG
Last Name:TSENG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7000 SW 97TH AVE
Mailing Address - Street 2:SUITE 213
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-1494
Mailing Address - Country:US
Mailing Address - Phone:305-274-1299
Mailing Address - Fax:305-274-1297
Practice Address - Street 1:7000 SW 97TH AVE
Practice Address - Street 2:SUITE 213
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-1494
Practice Address - Country:US
Practice Address - Phone:305-274-1299
Practice Address - Fax:305-274-1297
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-21
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME49674174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLB74310Medicare UPIN
FL96983XMedicare PIN