Provider Demographics
NPI:1831341841
Name:SCHERER, RANDI L (DPT)
Entity type:Individual
Prefix:MRS
First Name:RANDI
Middle Name:L
Last Name:SCHERER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MISS
Other - First Name:RANDI
Other - Middle Name:LEIGH
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:820 COMMED MLVD
Mailing Address - Street 2:
Mailing Address - City:ORANGE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32763
Mailing Address - Country:US
Mailing Address - Phone:386-775-7488
Mailing Address - Fax:386-775-9515
Practice Address - Street 1:820 COMMED BLVD
Practice Address - Street 2:
Practice Address - City:ORANGE CITY
Practice Address - State:FL
Practice Address - Zip Code:32763
Practice Address - Country:US
Practice Address - Phone:386-775-7488
Practice Address - Fax:386-775-8515
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2018-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7528225100000X
FLPT 24367225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist