Provider Demographics
NPI:1336888684
Name:SCHULERT, DEVAN
Entity Type:Individual
Prefix:DR
First Name:DEVAN
Middle Name:
Last Name:SCHULERT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 CENTREPARK BLVD APT 320
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-7455
Mailing Address - Country:US
Mailing Address - Phone:519-990-2996
Mailing Address - Fax:
Practice Address - Street 1:3436 CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33901-7108
Practice Address - Country:US
Practice Address - Phone:239-201-3480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-02
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL26927122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist