Provider Demographics
NPI:1700804663
Name:SCHEKORRA, VIRGINIA (DO, PA)
Entity Type:Individual
Prefix:DR
First Name:VIRGINIA
Middle Name:
Last Name:SCHEKORRA
Suffix:
Gender:F
Credentials:DO, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6020 PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33781-3228
Mailing Address - Country:US
Mailing Address - Phone:727-548-9196
Mailing Address - Fax:727-545-4678
Practice Address - Street 1:6020 PARK BLVD
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781-3228
Practice Address - Country:US
Practice Address - Phone:727-548-9196
Practice Address - Fax:727-545-4678
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS0005747207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE72238Medicare UPIN
FL57167BMedicare PIN
FLK1522Medicare ID - Type UnspecifiedMEDICARE GROUP ID#